Provider Demographics
NPI:1154620375
Name:OH, PILYUNG STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:PILYUNG
Middle Name:STEPHEN
Last Name:OH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:BOX 209
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:646-962-2599
Mailing Address - Fax:212-746-7922
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:BOX 209
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:646-962-2599
Practice Address - Fax:212-746-7922
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2017-04-14
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Provider Licenses
StateLicense IDTaxonomies
NY2592972086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery