Provider Demographics
NPI:1043805393
Name:BOK, SZE WAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:SZE WAN
Middle Name:
Last Name:BOK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:CARA SZE WAN
Other - Middle Name:
Other - Last Name:BOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:13618 39TH AVE STE 1005
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5577
Mailing Address - Country:US
Mailing Address - Phone:718-968-3333
Mailing Address - Fax:
Practice Address - Street 1:13618 39TH AVE STE 1005
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5577
Practice Address - Country:US
Practice Address - Phone:718-968-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002856231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist