Basic Information
| Provider Information | |||||||||
| NPI: | 1740550672 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | YOUN | ||||||||
| FirstName: | TRISHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 575 LEXINGTON AVENUE, SUITE 540 | ||||||||
| Address2: | NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100226102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127466000 | ||||||||
| FaxNumber: | 6469620122 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 E 68TH STREET, BOX 141, DEPARTMENT OF RADIOLOGY | ||||||||
| Address2: | NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100654885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127466000 | ||||||||
| FaxNumber: | 6469620122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2012 | ||||||||
| LastUpdateDate: | 12/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 264299 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.