Kim, Chung Eun P

Kim, Chung Eun P is an individual health care provider with primary practice located at 12 N 7Th Ave , Mt Vernon NY 10550-2026. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Chung Eun P can be contacted via phone (914) 664-8000.

Contact Information

Primary practice address
12 N 7Th Ave Mt Vernon NY 10550-2026
Phone: (914) 664-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 119172 New York

Profile Details

NPI number 1568561371
LBN Legal business name Kim, Chung Eun P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568561371 NPPES
New York MEDICAID 00366981

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