Kim, Damian Byungsuk

Kim, Damian Byungsuk is an sole proprietor health care provider with primary practice located at 24 N 3Rd Ave Ste 202 , Highland Park NJ 08904-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kim, Damian Byungsuk can be contacted via phone (917) 696-7107.

Contact Information

Primary practice address
24 N 3Rd Ave Ste 202 Highland Park NJ 08904-2448
Phone: (917) 696-7107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 110294 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA03072100 New Jersey

Profile Details

NPI number 1952387904
LBN Legal business name Kim, Damian Byungsuk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Oct 7th, 2022 - about 3 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 1952387904 NPPES
New York MEDICAID 00196992

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