National Provider Identifier
Moon Su Kang
Moon Su Kang is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1609579739
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 955 Main St Ste 7230
- Buffalo, NY 14203-1121
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1609579739
- Entity Type
- Individual
- Last Name
- Kang
- First Name
- Moon Su
- Mailing Street Address
- 955 Main St Ste 7230
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1121
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)