Most Relevant Information
Provider Data
| NPI Number: | 1003236423 |
| Provider Name: | KI WON SEO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 290456 |
Most Important Dates
| Enumeration Date: | 04/24/2014 |
| Last Updated: | 01/04/2018 |
Provider Practice Location
54 CENTRAL PARK RD
PLAINVIEW
NY
118032012
Practice Location Phone/Fax
| Phone: | 7186702000 |
| Fax: |
Provider Mailing Location
54 CENTRAL PARK RD
PLAINVIEW
NY
118032012
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR