Provider Demographics
NPI:1891323325
Name:DOH, CHRISTOPHER SANGWOON (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SANGWOON
Last Name:DOH
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NICOLLS RD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-2078
Mailing Address - Fax:631-638-1199
Practice Address - Street 1:100 NICOLLS RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-1219
Practice Address - Country:US
Practice Address - Phone:631-444-2078
Practice Address - Fax:631-638-1199
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY479770569390200000X
NY3358362081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program