Provider Demographics
NPI:1992970065
Name:HYUN, AERIN M (MD, PHD, PC)
Entity type:Individual
Prefix:DR
First Name:AERIN
Middle Name:M
Last Name:HYUN
Suffix:
Gender:F
Credentials:MD, PHD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 57TH ST STE 603
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3211
Mailing Address - Country:US
Mailing Address - Phone:347-565-4034
Mailing Address - Fax:609-357-9520
Practice Address - Street 1:200 W 57TH ST STE 603
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:347-565-4034
Practice Address - Fax:609-357-9520
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.052353207R00000X
NY2504612084P0800X
NJ25MA091671002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine