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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396742201 NPPES
New York Other 4V2271 BC/BS

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