| Doctor Name: | DR. PETER H KWON |
| NPI Number: | 1356459929 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 216778 |
| Business Practice Address: | 384 Crystal Run Rd Suite 201 Middletown, NY - 109414013 |
| Business Phone Number: | 8456928780 |
| Business Fax Number: | 8456923439 |
| Mailing Address: | 384 Crystal Run Rd, Suite 201 MIDDLETOWN |
| State: | NY |
| Postal Code: | 109414013 |
| Phone Number: | 8456928780 |
| Fax Number: | 8456923439 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 216778 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |