Individual
HYUN-SOON ELLEN KWARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
706 GREEN VALLEY RD STE 104, GREENSBORO, NC 27408-7043
(336) 387-2500
(336) 387-2501
Mailing address
760 WESTCHESTER AVENUE, RYE BROOK, NY 10573-1320
(914) 698-5706
(914) 698-6624
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
2010-00097
NC
207ZP0101X
Anatomic Pathology Physician
Primary
2010-00097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184959
NY STATE LICENSE
NY
Enumeration date
10/27/2006
Last updated
03/31/2025
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