CALVIN KWAK


Address: 300 Community Dr, Manhasset, NY 11030-3816
Phone: 5165620100

CALVIN KWAK (NPI# 1801425947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801425947
Entity Type Individual
Full Name CALVIN KWAK
Credential CRNA
Practice Address 300 Community Dr
Manhasset
NY 11030-3816
Mailing Address 149-06 Northern Blvd Apt 507
Flushing
NY 11354
Practice Telephone 5165620100
Mailing Telephone 7187577666
Enumeration Date 2020-04-01
Last Update Date 2020-04-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
665623-1 NY Nursing Service Providers

Office Location

Street Address 300 COMMUNITY DR
City MANHASSET
State NY
Zip Code 11030-3816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659777 Rudy Neptune Anesthesiology 300 Community Dr, Manhasset, NY 11030-3816 2005-06-15
1013518935 Vikram Gajulapalli Pharmacist 300 Community Dr, Manhasset, NY 11030-3816 2020-11-06
1568062396 Caroline Smolenski Nurse Anesthetist, Certified Registered 300 Community Dr, Manhasset, NY 11030-3876 2020-10-30
1265031256 James Jiwon Song Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-10-20
1437757739 Andy Sunwoo Lim Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3876 2020-10-09
1548867450 Shiva Moshtagh Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-10-04
1457968943 Bryanna Colleen Kelly Nurse Practitioner 300 Community Dr, Manhasset, NY 11030-3816 2020-09-28
1902412463 Tara Shelley Physician Assistant 300 Community Dr, Manhasset, NY 11030-3876 2020-09-21
1548875644 Julius E Wilson Jr. Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-09-15
1114532215 Sarah Iqbal Pharmacy Technician 300 Community Dr, Manhasset, NY 11030-3816 2020-09-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831754126 Diana Fox Registered Nurse 330 Community Drive, Manhasset, NY 11030 2019-05-02
1215470257 Melissa Fackler Registered Nurse 1350 Northern Blvd Ste 202, Manhasset, NY 11030 2016-11-23
1821443391 Sarah Javdan Family Medicine 800 Community Dr Ste 206, Manhasset, NY 11030 2016-05-03
1891167458 Stacie Thaw Lcsw Pllc Social Worker 115 Park Ave., Manhasset, NY 11030 2015-10-22
1538547971 Aarti Kumar Podiatrist 535 Plandome Rd # 2, Manhasset, NY 11030 2015-05-18
1073933586 Rachel Durante Occupational Therapist 600 Community Drive, Manhasset, NY 11030 2014-04-23
1831436435 Anesthesia Care, P.C. General Practice 565 Plandome Road, Manhasset, NY 11030 2013-01-16
1821350091 Sylvia Yoonsun Kim Pharmacist 139 Vanderbilt Ave, Manhasset, NY 11030 2012-06-13
1699062588 Rod Stern Dentist 444 Community Dr Ste 201, Manhasset, NY 11030 2011-06-30
1558654798 Alexandria Pace Kress Speech-Language Pathologist 31 Circle Dr, Manhasset, NY 11030 2011-05-20
Find all providers in zip 11030

Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790261717 Laura Elizabeth Gonzalez Registered Nurse 300 Community Dr, Manhasset, NY 11030 2018-07-12
1700362910 Maria Madeline Zouloufis Registered Nurse 300 Community Dr, Manhasset, NY 11030-3876 2018-07-11
1669913133 Diego Acero Registered Nurse 400 Community Dr, Manhasset, NY 11030-3815 2017-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578163879 Oladunni Odeyemi Registered Nurse 4502 Ditmars Blvd Apt 201, Astoria, NY 11105-1348 2020-10-27
1386267607 Victoria Babchuk Registered Nurse 1499 Providence Dr, Webster, NY 14580-9493 2020-05-20
1063034890 Ronit Delrahim Registered Nurse 46 Grace Ave Apt 3f, Great Neck, NY 11021-2622 2020-05-14
1831727403 Bradley Scott Young Registered Nurse 41 Lakeview Park, Rochester, NY 14613-1741 2020-03-30
1821624636 Jacqueline Carrozza Registered Nurse 4 Mickeys Way, Westhampton Beach, NY 11978-2227 2020-03-13
1912543646 Catherine Elizabeth Apollonio Registered Nurse 121 Vails Lake Shore Dr, Brewster, NY 10509-1756 2019-11-18
1245875251 Kathleen Szaba Registered Nurse 17 Little Glen Rd, Pittsford, NY 14534-2619 2019-11-13
1740825132 Christy Smith Registered Nurse 20 Rugby Ave, Rochester, NY 14619-1136 2019-11-09
1710531256 Ana Samely Maria Registered Nurse 2525 Aqueduct Ave B3, Bronx, NY 10468 2019-08-01
1336701622 Ian Todd Dempsey Registered Nurse 50 E 21st St Apt 6e, Brooklyn, NY 11226-1836 2019-07-08
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Competitor

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City MANHASSET
Zip Code 11030

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Dataset Information

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.

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