Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hwan S Tak

Individual provider Registered Dietitian · NPI 1952618589

Hwan S Tak is a Registered Dietitian in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
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Practice location Address checks out

15806 76th Ave Apt 1B
Fresh Meadows, NY 11366-1059
Phone: (718) 458-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1040199 (IL)

Record details

NPI number1952618589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2010
Last updated in NPPESSeptember 2, 2010

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