Individual
DR. CHARLES C KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
218069
NY
Other
Enumeration date
08/08/2006
Last updated
08/31/2021
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