Tak, Yong Suk
Tak, Yong Suk is an individual health care provider with primary practice located at 8037 Broadway Global Medical Physician Pc Dr Yong S Tak Md, Elmhurst NY 11373-3160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tak, Yong Suk can be contacted via phone (516) 623-6600.Contact Information
Primary practice address
8037 Broadway Global Medical Physician Pc Dr Yong S Tak Md
Elmhurst NY 11373-3160
Phone: (516) 623-6600
Fax: (516) 223-9539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 206576 | New York |
Profile Details
| NPI number | 1942287982 |
|---|---|
| LBN Legal business name | Tak, Yong Suk |
| Credentials | MD CPMR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942287982 | NPPES |
| New York | MEDICAID | 02023572 |
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