Individual
CHRIS KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14935 NORTHERN BLVD APT 3B, FLUSHING, NY 11354-3865
(714) 315-6464
Mailing address
14935 NORTHERN BLVD APT 3B, FLUSHING, NY 11354-3865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
823573
NY
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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