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Individual

DR. HARRY KWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7901 BROADWAY, DEPT. OF ANESTHESIOLOGY E2-69, ELMHURST, NY 11373-1329
(718) 334-1852
Mailing address
2865 MYRTLEWOOD DR, DUMFRIES, VA 22026-4533
(201) 725-5570

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101257187
VA
207L00000X
Anesthesiology Physician
Primary
260601
NY

Other

Enumeration date
11/03/2008
Last updated
06/15/2021
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