Individual
MRS. BOK SOON WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 W 125TH ST, NEW YORK, NY 10027-3428
(212) 222-3576
(212) 222-5172
Mailing address
567 W 125TH ST, NEW YORK, NY 10027-3428
(212) 222-3576
(212) 222-5172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659543817
NPI
NY
Enumeration date
06/30/2008
Last updated
06/30/2008
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