Healthcare Provider Details

I. General information

NPI: 1134104136
Provider Name (Legal Business Name): PHILIP S KWAIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169-59 137TH AVE
JAMAICA NY
11434-4517
US

IV. Provider business mailing address

55 WATER ST FL 2
NEW YORK NY
10041-0010
US

V. Phone/Fax

Practice location:
  • Phone: 718-525-5600
  • Fax: 718-527-0922
Mailing address:
  • Phone: 646-680-2888
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number188513
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: