Kwon, Chungduck Stephan

Kwon, Chungduck Stephan is an sole proprietor health care provider with primary practice located at 755 Narrows Rd N Apt 1207 , Staten Island NY 10304-1546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kwon, Chungduck Stephan can be contacted via phone (718) 815-2393.

Contact Information

Primary practice address
755 Narrows Rd N Apt 1207 Staten Island NY 10304-1546
Phone: (718) 815-2393
Fax: (646) 935-1916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 112120 New York

Profile Details

NPI number 1689663379
LBN Legal business name Kwon, Chungduck Stephan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Apr 2nd, 2015 - about 10 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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