Kwak, Gina Sue
Kwak, Gina Sue is an individual health care provider with primary practice located at 310 E Shore Rd 206, Great Neck NY 11023-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Kwak, Gina Sue can be contacted via phone (516) 487-7677.Contact Information
Primary practice address
310 E Shore Rd 206
Great Neck NY 11023-2432
Phone: (516) 487-7677
Fax: (516) 487-2868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 187525 | New York |
Profile Details
| NPI number | 1396742201 |
|---|---|
| LBN Legal business name | Kwak, Gina Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 16th, 2009 - about 15 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 | 1396742201 | NPPES |
| New York | Other | 4V2271 | BC/BS |
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