Tak, Woo Suk

Tak, Woo Suk is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tak, Woo Suk can be contacted via phone (718) 226-9463.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-9463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 202772 New York

Profile Details

NPI number 1093798530
LBN Legal business name Tak, Woo Suk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 24th, 2009 - about 16 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 1093798530 NPPES
New York Other 250010935 RAIL ROAD MEDICARE
New York MEDICAID 01873596 RAIL ROAD MEDICARE

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