Kwak, Charles C

Kwak, Charles C is an individual health care provider with primary practice located at 4012 80Th St , Elmhurst NY 11373-1234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kwak, Charles C can be contacted via phone (718) 886-9000.

Contact Information

Primary practice address
4012 80Th St Elmhurst NY 11373-1234
Phone: (718) 886-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 218069 New York

Profile Details

NPI number 1548270218
LBN Legal business name Kwak, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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