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Contact Information

JIN PYUN, MD
10506 2ND ST
FORT DRUM, NY13602
 Phone: 315-772-8443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JIN PYUN · (Male)

NPI # 1073599866
Status Active
Credentials MD
Entity Individual
Enumeration date 12/22/2005
Last updated 10/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 232759
Hospital affiliation(s)
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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