Organization
KINGS PARK MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEYMIN G HAGO MD (MEDICAL DIRECTOR)
(631) 292-2725
Entity
Organization
Contact information
Practice address
93 MAIN ST, SUITE A, KINGS PARK, NY 11754-2740
(631) 292-2725
(631) 292-2727
Mailing address
93 MAIN ST, SUITE A, KINGS PARK, NY 11754-2740
(631) 292-2725
(631) 292-2727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
258181-1
NY
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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