Provider Demographics
NPI:1255590295
Name:KWAK-PEACOCK, EUN SOO (MD)
Entity type:Individual
Prefix:DR
First Name:EUN SOO
Middle Name:
Last Name:KWAK-PEACOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUN SOO
Other - Middle Name:
Other - Last Name:KWAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:50 DAYTON LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2859
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-727-1714
Practice Address - Street 1:35 S RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2653
Practice Address - Country:US
Practice Address - Phone:914-739-0087
Practice Address - Fax:914-737-1714
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine