Kim, Minah

Kim, Minah is an individual health care provider with primary practice located at 57 Bay St , Staten Island NY 10301-2510. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kim, Minah can be contacted via phone (718) 226-3200.

Contact Information

Primary practice address
57 Bay St Staten Island NY 10301-2510
Phone: (718) 226-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048937 New York

Profile Details

NPI number 1932162377
LBN Legal business name Kim, Minah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932162377 NPPES
New York MEDICAID 00244202

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