Individual
DR. KI-TAE MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-6279
(518) 262-5718
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-6279
(518) 262-5718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227377
NY
208M00000X
Hospitalist Physician
Primary
227377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02563091
—
NY
Enumeration date
09/07/2005
Last updated
05/14/2021
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