Kim, Michael C

Kim, Michael C is an individual health care provider with primary practice located at 300 Community Drive , Manhasset NY 11030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Kim, Michael C can be contacted via phone (516) 562-4100.

Contact Information

Primary practice address
300 Community Drive Manhasset NY 11030
Fax: (516) 562-2352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 201284 New York

Profile Details

NPI number 1922020155
LBN Legal business name Kim, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 7th, 2013 - about 11 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 1922020155 NPPES
New York MEDICAID 02169015

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