| John Kwon, PA-C | |
|
23018 58th Ave Bsmt, Bayside, NY 11364-2454 | |
| (347) 259-4134 | |
| Not Available |
| Full Name | John Kwon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 23018 58th Ave Bsmt, Bayside, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114672383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 028022-01 (New York) | Primary |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kwon, PA-C 23018 58th Ave Bsmt, Bayside, NY 11364-2454 Ph: (347) 259-4134 | John Kwon, PA-C 23018 58th Ave Bsmt, Bayside, NY 11364-2454 Ph: (347) 259-4134 |
Brenda O'shea Robinson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3245 Bell Blvd, Bayside, NY 11361 Phone: 718-631-0072 Fax: 718-428-7126 |
Justin Persaud, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4211 Bell Blvd Bay Bayside, Bayside, NY 11361 Phone: 212-385-3700 |
Miss Amy Beth Livingston, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Francis Lewis Blvd - Ste. L2a, Bayside, NY 11361 Phone: 718-717-0291 Fax: 718-717-0295 |
Marianne Mazza, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2901 216th St, Bayside, NY 11360 Phone: 718-281-8701 Fax: 718-281-8590 |
Anne Marie Buonaiuto, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2389 Bell Blvd, Bayside, NY 11360 Phone: 718-631-0072 Fax: 718-428-7126 |
Alexa Humpf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23-89 Bell Blvd, Bayside, NY 11360 Phone: 718-631-0072 |
Jessica Schlussel, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21008 Northern Blvd Ste 2, Bayside, NY 11361 Phone: 718-224-8200 Fax: 718-819-0244 |