Paek, Kee S
Paek, Kee S is an sole proprietor health care provider with primary practice located at 1548 Waters Edge Dr , Bayside NY 11360-1232. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Paek, Kee S can be contacted via phone (718) 428-6008.Contact Information
Primary practice address
1548 Waters Edge Dr
Bayside NY 11360-1232
Phone: (718) 428-6008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 138974 | New York |
Profile Details
| NPI number | 1548203854 |
|---|---|
| LBN Legal business name | Paek, Kee S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1548203854 | NPPES |
| New York | MEDICAID | 00789139 |
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