Pak, Sang I

Pak, Sang I is an individual health care provider with primary practice located at 240 Meeting House Lane Surgical Specialties Office, Southampton NY 11968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pak, Sang I can be contacted via phone (631) 726-8717.

Contact Information

Primary practice address
240 Meeting House Lane Surgical Specialties Office Southampton NY 11968
Phone: (631) 726-8717
Fax: (631) 726-8720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 208286 New York

Profile Details

NPI number 1689680019
LBN Legal business name Pak, Sang I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 14th, 2018 - about 6 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 1689680019 NPPES
New York MEDICAID 01925662

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