Kim, Tae Jung

Kim, Tae Jung is an sole proprietor health care provider with primary practice located at 6123 229Th St Fl 2 , Oakland Gardens NY 11364-2422. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Tae Jung can be contacted via phone (718) 886-8180.

Contact Information

Primary practice address
6123 229Th St Fl 2 Oakland Gardens NY 11364-2422
Phone: (718) 886-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022985 New York

Profile Details

NPI number 1891949368
LBN Legal business name Kim, Tae Jung
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 2008 - 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.

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