CHUNGDUCK STEPHAN KWON (NPI# 1689663379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689663379 |
| Entity Type | Individual |
| Full Name | CHUNGDUCK STEPHAN KWON |
| Other Name | C STEPHAN KWON |
| Credential | MD |
| Practice Address |
755 Narrows Rd N Apt 1207 Staten Island NY 10304-1546 |
| Mailing Address |
755 Narrows Rd N Staten Island NY 10304-1548 |
| Practice Telephone | 7188152393 |
| Practice Fax Number | 6469351916 |
| Mailing Telephone | 7188152393 |
| Mailing Fax Number | 6469351916 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
112120 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
755 NARROWS RD N APT 1207 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700914074 | Man So Lee | Pathology | 470 Wooddale Ave, Staten Island, NY 10301 | 2007-03-01 |
| 1568098523 | Procedure Endoscopy Services Pllc | Pathology | 305 Seguine Ave, Staten Island, NY 10309-3709 | 2020-03-20 |
| 1730314568 | Robert Anthony Guarino Jr. | Pathology | 475 Seaview Ave, Dept. of Pathology and Laboratory Medicine, Staten Island, NY 10305-3436 | 2009-05-22 |
| 1902069339 | Natalya Ivanovna Khilko | Pathology | 1 Edgewater St, 1st Fl. Lab, Staten Island, NY 10305-4900 | 2008-07-07 |
| 1457513525 | Shahla Noreen | Pathology | 1 Edgewater St, 1st Fl. Lab, Staten Island, NY 10305-4900 | 2008-06-30 |
| 1891966693 | Zvika Jacob Schreiber | Pathology | 1 Edgewater St, 1st Floor Labratory, Staten Island, NY 10305-4907 | 2008-03-19 |
| 1659576361 | Buhalqem H Kadire | Pathology | 355 Bard Ave, Richmond University Medical Center, Staten Island, NY 10310-1664 | 2007-06-21 |
| 1942334040 | Bette Lazzaro | Pathology | 1 Edgewater St, 1st Fl. Lab, Staten Island, NY 10305-4900 | 2007-03-14 |
| 1073680310 | Anissa Abdelmalek | Pathology | 355 Bard Avenue, Staten Island, NY 10310 | 2006-11-30 |
| 1932293214 | Central Pathology Service PC | Pathology | 355 Bard Avenue, Staten Island, NY 10310 | 2006-10-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.