Tak, Yong Suk

Tak, Yong Suk is an individual health care provider with primary practice located at 8037 Broadway Global Medical Physician Pc Dr Yong S Tak Md, Elmhurst NY 11373-3160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tak, Yong Suk can be contacted via phone (516) 623-6600.

Contact Information

Primary practice address
8037 Broadway Global Medical Physician Pc Dr Yong S Tak Md Elmhurst NY 11373-3160
Phone: (516) 623-6600
Fax: (516) 223-9539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 206576 New York

Profile Details

NPI number 1942287982
LBN Legal business name Tak, Yong Suk
Credentials MD CPMR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942287982 NPPES
New York MEDICAID 02023572

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