Provider Demographics
NPI:1700034378
Name:PAIK, WOONG KI (MD)
Entity Type:Individual
Prefix:DR
First Name:WOONG
Middle Name:KI
Last Name:PAIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4500 PARSONS BLVD
Mailing Address - Street 2:FHMC AMBULATORY CARE CLINIC
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2205
Mailing Address - Country:US
Mailing Address - Phone:718-670-5488
Mailing Address - Fax:718-670-8988
Practice Address - Street 1:45- 00 PARSONS BLV
Practice Address - Street 2:FHMC AMBULATORY CARE CLINIC
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-0000
Practice Address - Country:US
Practice Address - Phone:718-670-5488
Practice Address - Fax:718-670-8988
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY250227207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine