Individual
IRENE PAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 NEWBRIDGE RD, SUITE 101, EAST MEADOW, NY 11554-2150
(516) 731-5740
(516) 731-1140
Mailing address
1548 WATERS EDGE DR, BAYSIDE, NY 11360-1232
(917) 583-0318
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
243404
NY
207R00000X
Internal Medicine Physician
243404
NY
Other
Enumeration date
05/02/2007
Last updated
04/05/2012
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