Kim, Samuel W

Kim, Samuel W is an individual health care provider with primary practice located at 1 Columbia St Dra Imaging, Pc, Poughkeepsie NY 12601-3923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Samuel W can be contacted via phone (845) 454-4700.

Contact Information

Primary practice address
1 Columbia St Dra Imaging, Pc Poughkeepsie NY 12601-3923
Phone: (845) 454-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 231881 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 231881 New York

Profile Details

NPI number 1265520779
LBN Legal business name Kim, Samuel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated May 1st, 2008 - about 16 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 1265520779 NPPES
New York MEDICAID 02802124

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