Kwak, Edward S.
Kwak, Edward S. is an individual health care provider with primary practice located at 737 Park Ave Apt 1D , New York NY 10021-4264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Kwak, Edward S. can be contacted via phone (212) 229-1100.Contact Information
Primary practice address
737 Park Ave Apt 1D
New York NY 10021-4264
Phone: (212) 229-1100
Fax: (212) 229-1105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 236600 | New York |
| Other Service Providers / Specialist | 174400000X | 236600 | New York |
Profile Details
| NPI number | 1568514412 |
|---|---|
| LBN Legal business name | Kwak, Edward S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568514412 | NPPES |
| New York | MEDICAID | 02877961 |
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