Kim, Tae Ho

Kim, Tae Ho is an sole proprietor health care provider with primary practice located at 115 Washington Pl Unit B, New York NY 10014-6803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Kim, Tae Ho can be contacted via phone (212) 706-8738.

Contact Information

Primary practice address
115 Washington Pl Unit B New York NY 10014-6803
Phone: (212) 706-8738
Fax: (212) 706-8743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2384301 New York

Profile Details

NPI number 1164488508
LBN Legal business name Kim, Tae Ho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Mar 3rd, 2014 - 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 1164488508 NPPES
New York MEDICAID 02729642

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