Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAE S KWON, MD
Active Sole ProprietorDR. TAE S KWON, MD is a Psychosomatic Medicine healthcare provider located in GOSHEN, New York. NPI 1073727822 is currently active in the NPPES registry. Verify at CMS.
Psychosomatic Medicine · GOSHEN, NY
Registration Details
- NPI Number
- 1073727822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.29126244335 yrs)
- Last Updated
- Jul 8, 2007
- License
-
136685 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 WELLS FARM RDGOSHEN, NY, 109246740Browse NY providers · Browse ZIP 10924
- Phone
- 8452917553
- Fax
- 8452917551
- Primary Specialty
-
Psychosomatic Medicine
2084P0015X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.