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Contact Information

SANG I PAK, MD
240 MEETING HOUSE LANE
SURGICAL SPECIALTIES OFFICE
SOUTHAMPTON, NY11968
 Phone: 631-726-8717
 Fax: 631-726-8720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SANG I PAK · (Male)

NPI # 1689680019
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 02/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 208286
  • NY Medicaid 01925662
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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