Individual
DR. YONG SUK TAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD CPMR
Contact information
Practice address
8037 BROADWAY, GLOBAL MEDICAL PHYSICIAN PC DR YONG S TAK MD, ELMHURST, NY 11373-3160
(516) 623-6600
(516) 223-9539
Mailing address
3399 HAROLD ST, GLOBAL MEDICAL PHYSICIAN PC DR YONG S TAK MD, OCEANSIDE, NY 11572-4720
(516) 623-6600
(516) 223-9539
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
206576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02023572
—
NY
Enumeration date
12/30/2005
Last updated
07/08/2007
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