Kim, Jungyop

Kim, Jungyop is an individual health care provider with primary practice located at 101 Hospital Rd , E Patchogue NY 11772-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Jungyop can be contacted via phone (631) 687-4131.

Contact Information

Primary practice address
101 Hospital Rd E Patchogue NY 11772-4870
Phone: (631) 687-4131
Fax: (631) 654-7376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214678 New York

Profile Details

NPI number 1427064153
LBN Legal business name Kim, Jungyop
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 21st, 2009 - about 15 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 1427064153 NPPES
New York Other 633AX1 NY EMPIRE BCBS
New York MEDICAID 02772190 NY EMPIRE BCBS
New York MEDICAID 01986598 NY EMPIRE BCBS

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