Charles C Kwak


Address: 3420 Parsons Blvd, Apt Lf, Flushing, NY 11354-4606

Charles C Kwak (NPI# 1548270218, PAC ID# 3173621349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1548270218
PAC ID by PECOS 3173621349
Professional Enrollment ID I20070612000338
Full Name Charles C Kwak
Address 3420 Parsons Blvd
Apt Lf
Flushing
NY 11354-4606
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1998
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3420 Parsons Blvd, Apt Lf, Flushing, NY 11354-4606
300 Crystal Run Rd, Middletown, NY 10941-4069 8456926999 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
855 State Route 17m, Monroe, NY 10950-1600 8457036999 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
2 Centerock Rd, West Nyack, NY 10994-2215 8457036999 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

Organization Information

Office Location

Street Address 3420 PARSONS BLVD
APT LF
City FLUSHING
State NY
Zip 11354-4606

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Competitor

Search similar physicians

City FLUSHING
Zip Code 11354
Specialty DERMATOLOGY
City + Specialty FLUSHING + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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