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Contact Information

PAUL YOUN, MD
1333 ROANOKE AVE
RIVERHEAD, NY11901-2029
 Phone: 631-751-3000
 Fax: 631-509-6559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PAUL YOUN · (Male)

NPI Number 1770841256
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2012
Last updated 01/31/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01078147A
  • NY License # 296501
  • PA License # MT201261
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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