HYUN-SOON ELLEN KWARK (NPI# 1487730800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487730800 |
| Entity Type | Individual |
| Full Name | HYUN-SOON ELLEN KWARK |
| Credential | M.D. |
| Practice Address |
760 Westchester Avenue Rye Brook NY 10573-1320 |
| Practice Telephone | 9146985706 |
| Practice Fax Number | 9146986624 |
| Mailing Telephone | 9146985706 |
| Mailing Fax Number | 9146986624 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
184959 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE LICENSE | 184959 | 01 |
| Street Address |
760 WESTCHESTER AVENUE |
| City | RYE BROOK |
| State | NY |
| Zip Code | 10573-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471023 | Carlos Daniel Urmacher | Pathology | 760 Westchester Avenue, Rye Brook, NY 10573-1320 | 2005-10-19 |
| 1174509889 | Andrew Brett Kanik | Pathology | 760 Westchester Avenue, Rye Brook, NY 10573-1320 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
| 1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
| 1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
| 1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
| 1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
| 1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
| 1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
| 1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
| 1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
| Find all providers in zip 10573 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655954 | Eduardo Zappi | Pathology | 63-11 Queens Boulevard, Ste A6 / 7, Woodside, NY 11377 | 2017-05-11 |
| 1407100050 | Marcelo Ernesto Zappi | Pathology | 63-11 Queens Boulevard Apt A4, C/o Eduardo Zappi Dermatopathology, Woodside, NY 11377 | 2012-11-05 |
| 1578706032 | Xuan Wang | Pathology | 80 Crossways Park Dr Ste 100, Woodbury, NY 11797-2047 | 2009-04-14 |
| 1467602581 | Melissa Gill | Pathology | 64 Southlawn Ave, Dobbs Ferry, NY 10522-3520 | 2008-09-25 |
| 1659532224 | Garrett Thomas Desman | Pathology | 1233 York Ave Apt 16o, New York, NY 10065-6306 | 2008-06-17 |
| 1073797353 | Ron Yaar | Pathology | 61 Monroe Ave Ste B, Pittsford, NY 14534-1311 | 2007-12-22 |
| 1780787770 | Meenakshi Singh | Pathology | Sbumc Dept of Pathology, Stony Brook, NY 11794-0001 | 2006-09-06 |
| 1487663860 | Laboratory of Dermatopathology Adx, LLC | Pathology | 80 Crossways Park Drive, Suite 100, Woodbury, NY 11797-2047 | 2006-08-05 |
| 1316986359 | Mount Sinai School of Medicine | Pathology | 1428 Madison Ave, Atran 610, New York, NY 10029-6508 | 2006-06-05 |
| 1144283912 | Mcclain Laboratories LLC | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.