Paek, Susan Ra

Paek, Susan Ra is an individual health care provider with primary practice located at 800 Poly Pl , Brooklyn NY 11209-7104. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Paek, Susan Ra can be contacted via phone (347) 512-1466.

Contact Information

Primary practice address
800 Poly Pl Brooklyn NY 11209-7104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NO-05998-0 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NO-05998-0 New York

Profile Details

NPI number 1205927159
LBN Legal business name Paek, Susan Ra
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Feb 21st, 2012 - about 12 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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