Kim, Mark Y

Kim, Mark Y is an individual health care provider with primary practice located at 3900 N Buffalo St , Orchard Park NY 14127-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Mark Y can be contacted via phone (716) 656-4804.

Contact Information

Primary practice address
3900 N Buffalo St Orchard Park NY 14127-1842
Phone: (716) 656-4804
Fax: (716) 250-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234385-1 New York

Profile Details

NPI number 1487633228
LBN Legal business name Kim, Mark Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Nov 16th, 2020 - about 4 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 1487633228 NPPES
New York Other 0412847 IHA
New York Other 00027258001 IHA
New York MEDICAID 02680335 IHA
New York Other 000528214001 IHA
New York Other 161000580 IHA

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