Woo Suk Tak MD

NPI 1093798530 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1093798530
Gender Male
Enumeration Date 11/29/2005
Last Updated 02/24/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
475 SEAVIEW AVE
STATEN ISLAND NY, 10305-3436, US
Phone (718) 226-9463
Fax
Business Location
1 EDGEWATER ST
6TH FLOOR
STATEN ISLAND NY, 10305-4900, US
Phone (718) 226-1047
Fax (718) 226-1039
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 202772
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According to our database, Dr. Woo Suk Tak MD NPI is 1093798530, taxonomy code is 208100000X and license number is 202772, license state is located at New York. Woo Suk Tak MD physically located at 475 Seaview Ave, Staten Island NY, 10305-3436. NPI Number Woo Suk Tak MD has the Individual type.

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1093798530 NPI number is provided on an as is basis without warranty of any kind. 1093798530 is maintained by the National Plan & Provider Enumeration System. The contents of Woo Suk Tak MD are for informational purposes only.