Kim, Irene T

Kim, Irene T is an individual health care provider with primary practice located at 225 E 64Th St Ste 1 , New York NY 10065-6684. She recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Periodontics is her primary health care specialty. Kim, Irene T can be contacted via phone (212) 838-0940.

Contact Information

Primary practice address
225 E 64Th St Ste 1 New York NY 10065-6684
Phone: (212) 838-0940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 061036 New York
Dental Providers / Dentist 122300000X DN1857701 Massachusetts

Profile Details

NPI number 1003339953
LBN Legal business name Kim, Irene T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Feb 25th, 2021 - 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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