Individual
DR. KI WON SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 CENTRAL PARK RD, PLAINVIEW, NY 11803-2012
(718) 670-2000
Mailing address
54 CENTRAL PARK RD, PLAINVIEW, NY 11803-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290456
NY
208M00000X
Hospitalist Physician
Primary
290456
NY
Other
Enumeration date
04/24/2014
Last updated
01/04/2018
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