Bogum Kwon, PA Valid NPI

Individual provider · Physician Assistant · Great Neck, NY

NPI

1710401484

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

021238 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2017-08-03

Last updated

2025-07-09