BOGUM KWON

NEW HYDE PARK, NY
NPI1710401484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2017-08-03
Last Update Date2017-08-03
Business Address
BOGUM KWON
1991 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042-2062
Phone number: 516-497-7900
Mailing Address
BOGUM KWON
190-19C 71ST CRESCENT APT 1A
FRESH MEADOWS, NY 11365
Phone number: 347-287-5423
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