MYUNG JA KWAK

FAR ROCKAWAY, NY
NPI1720256621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  235902-1)
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- MYUNG JA KWAK CRNA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
Mailing Address
-- MYUNG JA KWAK CRNA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000