Provider Demographics
NPI:1982658779
Name:MOK, VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:MOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 MOTT ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5003
Mailing Address - Country:US
Mailing Address - Phone:212-619-1815
Mailing Address - Fax:212-587-5676
Practice Address - Street 1:13630 MAPLE AVE
Practice Address - Street 2:SUITED 1I
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3865
Practice Address - Country:US
Practice Address - Phone:718-461-1188
Practice Address - Fax:718-461-2332
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2008-06-17
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Provider Licenses
StateLicense IDTaxonomies
NY238118207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology