Basic Information
| Provider Information | |||||||||
| NPI: | 1356877781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | XU | ||||||||
| FirstName: | KUNYONG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 575 LEXINGTON AVENUE 11TH FLOOR | ||||||||
| Address2: | WEILL CORNELL MEDICINE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469622543 | ||||||||
| FaxNumber: | 6469620295 | ||||||||
| Practice Location | |||||||||
| Address1: | 1305 YORK AVE 11TH FLOOR | ||||||||
| Address2: | WEILL CORNELL EYE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469622020 | ||||||||
| FaxNumber: | 6469620600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2017 | ||||||||
| LastUpdateDate: | 10/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 287677 | NY | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.