Kang, Kwang S

Kang, Kwang S is an sole proprietor health care provider with primary practice located at 8213 37Th Ave , Jackson Heights NY 11372-7011. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kang, Kwang S can be contacted via phone (718) 565-1473.

Contact Information

Primary practice address
8213 37Th Ave Jackson Heights NY 11372-7011
Phone: (718) 565-1473
Fax: (718) 565-1132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 029220 New York

Profile Details

NPI number 1942481106
LBN Legal business name Kang, Kwang S
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942481106 NPPES
New York MEDICAID 01622980

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