Kim, Seong Ja
Kim, Seong Ja is an individual health care provider with primary practice located at 438 56Th Street , Brooklyn NY 11220-3409. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kim, Seong Ja can be contacted via phone (718) 439-4979.Contact Information
Primary practice address
438 56Th Street
Brooklyn NY 11220-3409
Phone: (718) 439-4979
Fax: (718) 439-4912
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 189738 | New York |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A50743 | California |
Profile Details
NPI number | 1528129350 |
---|---|
LBN Legal business name | Kim, Seong Ja |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528129350 | NPPES |
New York | MEDICAID | 01466802 |
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