Most Relevant Information
Provider Data
| NPI Number: | 1003495144 |
| Provider Name: | KOREN H KWAG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 04/06/2021 |
Provider Practice Location
506 6TH ST
BROOKLYN
NY
112153609
Practice Location Phone/Fax
| Phone: | 7187803000 |
| Fax: |
Provider Mailing Location
506 6TH ST
BROOKLYN
NY
112153609
Provider Mailing Phone/Fax
| Phone: | 7187803000 |
| Fax: |