Kim, Sooji
Kim, Sooji is an sole proprietor health care provider with primary practice located at 233 Broadway Rm 1775 , New York NY 10279-1810. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Kim, Sooji can be contacted via phone (212) 921-7900.Contact Information
Primary practice address
233 Broadway Rm 1775
New York NY 10279-1810
Phone: (212) 921-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 006777 | New York |
Profile Details
| NPI number | 1053717629 |
|---|---|
| LBN Legal business name | Kim, Sooji |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Dec 14th, 2020 - about 4 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 | 1053717629 | NPPES |
| New York | MEDICAID | 04524594 | |
| New York | Other | 006777 |
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