So Y Kwon, DC | |
277 Prospect Ave Ste Lg, Hackensack, NJ 07601-2539 | |
(201) 966-0303 | |
Not Available |
Full Name | So Y Kwon |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 277 Prospect Ave Ste Lg, Hackensack, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588242788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00780300 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sportsmed Pt Of Connecticut Pllc | 5395134852 | 7 |
Provider Name | Sportsmed Pt Of Connecticut Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609441534 PECOS PAC ID: 5395134852 Enrollment ID: O20211123000473 |
Mailing Address | Practice Location Address |
---|---|
So Y Kwon, DC 277 Prospect Ave Ste Lg, Hackensack, NJ 07601-2539 Ph: (201) 966-0303 | So Y Kwon, DC 277 Prospect Ave Ste Lg, Hackensack, NJ 07601-2539 Ph: (201) 966-0303 |
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