Kim, Tai

Kim, Tai is an individual health care provider with primary practice located at 221 Jericho Tpke , Syosset NY 11791-4515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Tai can be contacted via phone (516) 496-6558.

Contact Information

Primary practice address
221 Jericho Tpke Syosset NY 11791-4515
Phone: (516) 496-6558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 172223 New York

Profile Details

NPI number 1083610877
LBN Legal business name Kim, Tai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 3rd, 2009 - about 15 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 1083610877 NPPES
New York Other CB1521 RAILROAD MEDICARE GROUP
New York MEDICAID 01101495 RAILROAD MEDICARE GROUP
New York Other 050049399 RAILROAD MEDICARE GROUP

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