Kwon, Nancy
Kwon, Nancy is an individual health care provider with primary practice located at 33 Research Way , East Setauket NY 11733-3489. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kwon, Nancy can be contacted via phone (631) 444-4090.Contact Information
Primary practice address
33 Research Way
East Setauket NY 11733-3489
Phone: (631) 444-4090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T005664 | New York |
Profile Details
| NPI number | 1629004577 |
|---|---|
| LBN Legal business name | Kwon, Nancy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Nov 13th, 2012 - about 13 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 | 1629004577 | NPPES |
| New York | MEDICAID | 02139619 | |
| New York | Other | C008J1 | |
| New York | Other | 7381201 |
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