Individual
YERIN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W 135TH ST APT 14, NEW YORK, NY 10031-8424
(714) 514-3340
Mailing address
501 W 135TH ST APT 14, NEW YORK, NY 10031-8424
(714) 514-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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