Kim, Suk Sik

Kim, Suk Sik is an individual health care provider with primary practice located at 333 N Main St , Freeport NY 11520-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kim, Suk Sik can be contacted via phone (516) 623-3322.

Contact Information

Primary practice address
333 N Main St Freeport NY 11520-1231
Phone: (516) 623-3322
Fax: (516) 623-3526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 110412 New York

Profile Details

NPI number 1770584021
LBN Legal business name Kim, Suk Sik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 7th, 2023 - about 2 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 1770584021 NPPES
New York MEDICAID 00197306

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