Organization
RAYMOND P. KWA, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND P. KWA M.D. (PRESIDENT)
(718) 956-1509
Entity
Organization
Contact information
Practice address
105 MOSCO ST, NEW YORK, NY 10013-4322
(212) 374-1311
(212) 374-1314
Mailing address
3249 47TH ST, LONG ISLAND CITY, NY 11103-1707
(718) 956-1509
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
125448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412762
—
NY
Enumeration date
06/26/2006
Last updated
08/22/2020
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