Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOGUM KWON, PA
ActiveBOGUM KWON, PA is a Physician Assistant healthcare provider located in GREAT NECK, New York. NPI 1710401484 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREAT NECK, NY
Registration Details
- NPI Number
- 1710401484
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2017 (8.9881865200383 yrs)
- Last Updated
- Jul 9, 2025
- License
-
021238 (NY)
Practice Information
- Address
-
833 NORTHERN BLVDGREAT NECK, NY, 110215315Browse NY providers · Browse ZIP 11021
- Phone
- 5164988400
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GREAT NECK, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY ELIZABETH OGRADY | RPAC | 1154497675 |
| KENNETH STROBEL | P.A. | 1508992421 |
| EVELINA BADALOV | PA | 1689704967 |
| MARY ELLEN CASSIDY | PA | 1114101615 |
| GHAZALEH YASMEH | — | 1053576660 |
| MS. LAUREN TAYLOR TEDESCO | P.A. | 1972769578 |
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.