Kim, Moonyang

Kim, Moonyang is an individual health care provider with primary practice located at 10012 101 Avenue , Ozone Park NY 11416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Moonyang can be contacted via phone (718) 484-6790.

Contact Information

Primary practice address
10012 101 Avenue Ozone Park NY 11416
Phone: (718) 484-6790
Fax: (718) 848-4504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 115199 New York

Profile Details

NPI number 1992882609
LBN Legal business name Kim, Moonyang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1992882609 NPPES
New York MEDICAID 00211849

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