Kiim, Syung Soo
Kiim, Syung Soo is an individual health care provider with primary practice located at 60 Prospect Ave , Middletown NY 10940-4133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kiim, Syung Soo can be contacted via phone (845) 343-6216.Contact Information
Primary practice address
60 Prospect Ave
Middletown NY 10940-4133
Phone: (845) 343-6216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1215861 | New York |
Profile Details
| NPI number | 1205818028 |
|---|---|
| LBN Legal business name | Kiim, Syung Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205818028 | NPPES |
| New York | MEDICAID | 00242815 |
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