Individual
DR. CHARLES CHANG KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
78 FRANKLIN ST, NEW YORK, NY 10013-3481
(212) 219-7772
(212) 219-9595
Mailing address
78 FRANKLIN ST, NEW YORK, NY 10013-3481
(212) 219-7772
(212) 219-9595
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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