Individual
MINDY KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.O.G.
Contact information
Practice address
210 CENTRAL PARK S, NEW YORK, NY 10019-1428
(212) 319-5535
(845) 782-6914
Mailing address
PO BOX 48263, NEWARK, NJ 07101-4800
(212) 319-5535
(845) 782-6914
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
215508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C7890
HEALTHNET
NY
01
—
5734142
CIGNA
NY
01
—
MK081N0710
BLUE CROSS BLUE SHIELD
NY
01
—
P2696584
OXFORD
NY
Enumeration date
12/20/2006
Last updated
02/11/2022
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