Individual
NO BONG KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-4585
(718) 470-4345
Mailing address
270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-4585
(718) 470-4345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
256358
NY
2085R0202X
Diagnostic Radiology Physician
D0103512
MD
2085R0204X
Vascular & Interventional Radiology Physician
D0103512
MD
Other
Enumeration date
05/04/2010
Last updated
04/22/2025
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