Individual
NANWAI PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 55TH ST, STATION 3-06, BROOKLYN, NY 11220-2559
(718) 630-6384
(718) 630-7604
Mailing address
150 55TH ST, STATION 3-06, BROOKLYN, NY 11220-2559
(718) 630-6384
(718) 630-7604
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
172780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051080
—
NJ
05
—
02862059
—
NY
Enumeration date
10/12/2005
Last updated
03/10/2021
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