Kim, Martin Sung

Kim, Martin Sung is an sole proprietor health care provider with primary practice located at 121 Broad Ave , Palisades Park NJ 07650-1441. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kim, Martin Sung can be contacted via phone (201) 346-1500.

Contact Information

Primary practice address
121 Broad Ave Palisades Park NJ 07650-1441
Phone: (201) 346-1500
Fax: (201) 346-1549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006044 New York
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00604800 New Jersey

Profile Details

NPI number 1801827795
LBN Legal business name Kim, Martin Sung
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Mar 31st, 2017 - about 7 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 1801827795 NPPES
New York MEDICAID 02837805
New York MEDICAID 0129011

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