Kim, Dongsoo

Kim, Dongsoo is an individual health care provider with primary practice located at 102 Valentine St , Mount Vernon NY 10550-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kim, Dongsoo can be contacted via phone (914) 665-2267.

Contact Information

Primary practice address
102 Valentine St Mount Vernon NY 10550-2504
Phone: (914) 665-2267
Fax: (914) 693-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 165345 New York

Profile Details

NPI number 1881622504
LBN Legal business name Kim, Dongsoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 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 1881622504 NPPES
New York MEDICAID 01709291

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