Individual
DR. ROY KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, ROOM 6564, NEW YORK, NY 10010-5011
(212) 636-7500
Mailing address
423 E 23RD ST, ROOM 6564, NEW YORK, NY 10010-5011
(212) 636-7500
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A87176
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A87176
CA
Other
Enumeration date
08/22/2007
Last updated
04/02/2012
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