Individual
IVAN PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 FRANKLIN AVE STE 112, GARDEN CITY, NY 11530-5814
(516) 746-3636
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
062441
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2018
Last updated
08/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us