Chungduck Stephan Kwon, MD - Pathology in Staten Island, NY

Chungduck Stephan Kwon, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Staten Island, New York. Chungduck Stephan Kwon is licensed to practice in New York (license number 112120) and his current practice location is 755 Narrows Rd N Apt 1207, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (718) 815-2393.

NPI number for Chungduck Stephan Kwon is 1689663379 and his current mailing address is 755 Narrows Rd N, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689663379.

Contact Information

Chungduck Stephan Kwon, MD
755 Narrows Rd N Apt 1207,
Staten Island, NY 10304-1546
(718) 815-2393
(646) 935-1916

Map and Direction




Physician's Profile

Full NameChungduck Stephan Kwon
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location755 Narrows Rd N Apt 1207, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689663379
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 04/02/2015

Medical Identifiers

Medical identifiers for Chungduck Stephan Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689663379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 112120 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chungduck Stephan Kwon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chungduck Stephan Kwon, MD
755 Narrows Rd N,
Staten Island, NY 10304-1548

Ph: (718) 815-2393
Chungduck Stephan Kwon, MD
755 Narrows Rd N Apt 1207,
Staten Island, NY 10304-1546

Ph: (718) 815-2393

Reviews and Comments


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