Kim, Myungduk Roger

Kim, Myungduk Roger is an sole proprietor health care provider with primary practice located at 1 Brookdale Plz Room 244, Brooklyn NY 11212-3139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kim, Myungduk Roger can be contacted via phone (718) 240-5668.

Contact Information

Primary practice address
1 Brookdale Plz Room 244 Brooklyn NY 11212-3139
Phone: (718) 240-5668
Fax: (718) 240-6513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 178690 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 178690 New York

Profile Details

NPI number 1942241518
LBN Legal business name Kim, Myungduk Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Dec 20th, 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 1942241518 NPPES
New York MEDICAID 01404448

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