DR. CHARLES C KWAK (NPI# 1548270218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548270218 |
| Entity Type | Individual |
| Full Name | DR. CHARLES C KWAK |
| Credential | MD |
| Practice Address |
2 Centerock Rd West Nyack NY 10994-2215 |
| Mailing Address |
3420 Parsons Blvd Lf Flushing NY 11354 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 7184601639 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 218069 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689808024 | Charles Chang Kwak | Physical Therapist | 78 Franklin St, New York, NY 10013-3481 | 2009-05-13 |
| Street Address |
2 CENTEROCK RD |
| City | WEST NYACK |
| State | NY |
| Zip Code | 10994-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634345 | Larisa Tsaur | Physical Medicine & Rehabilitation | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2005-07-29 |
| 1215554688 | Deirdre Sumski | Genetic Counselor, MS | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2020-07-01 |
| 1205360682 | Mohammad Usman Ahmed | Family Medicine | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2017-04-12 |
| 1508304155 | Sherley Marceus | Obstetrics & Gynecology | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2017-02-03 |
| 1801248174 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2016-07-11 |
| 1740682624 | Arturo Gurbuxani Pascual Jr. | Internal Medicine | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2014-09-22 |
| 1841607744 | Sam A. Spinowitz | Otolaryngology | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2014-07-13 |
| 1578970414 | Daniel Sinyor | Pediatrics | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2014-07-11 |
| 1831538149 | Sephora Marsha Germain | Pediatrics | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2013-06-19 |
| 1912344755 | Perel Schneid | Family Medicine | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2013-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1063948792 | Kristine Uzolina-shportko | Dentist | 3645 Palisades Center Drive, West Nyack, NY 10994 | 2017-05-01 |
| 1689016909 | Kathleen Ann Colaluca-borbon | Behavioral Analyst | 10 Brookhill Dr, West Nyack, NY 10994 | 2013-07-28 |
| 1528409380 | Donald Alvin Winikoff | Pediatrics | 12 Woodward Road, West Nyack, NY 10994 | 2013-07-09 |
| 1740557107 | Patricia Martone | Registered Nurse | 65 Parrott Rd., West Nyack, NY 10994 | 2011-11-29 |
| 1679855142 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road, Bldg.6, West Nyack, NY 10994 | 2011-09-12 |
| 1306128814 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road Building 6, West Nyack, NY 10994 | 2011-09-12 |
| 1851616940 | Susan Marie Toscano | Early Intervention Provider Agency | 7 Kenbar Rd, West Nyack, NY 10994 | 2010-03-31 |
| 1225282007 | Maria Rossetti | Speech-Language Pathologist | 65 Parrot Road, Rockland Boces, West Nyack, NY 10994 | 2008-11-06 |
| 1932377645 | All Care Family Nurse Practitioners LLC | Nurse Practitioner | 2244 Palisades Center Drive, West Nyack, NY 10994 | 2008-02-15 |
| Find all providers in zip 10994 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992948939 | Gregory Polar | Dermatology | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2009-04-07 |
| 1801876180 | Wendy Anne Epstein | Dermatology | 2 Medical Park Dr, Suite 4, West Nyack, NY 10994-1965 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
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| City | WEST NYACK |
| Zip Code | 10994 |
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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.