Kim, Yong R
Kim, Yong R is an sole proprietor health care provider with primary practice located at 8635 Queens Blvd Suite1E, Elmhurst NY 11373-4434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Yong R can be contacted via phone (718) 205-4544.Contact Information
Primary practice address
8635 Queens Blvd Suite1E
Elmhurst NY 11373-4434
Phone: (718) 205-4544
Fax: (718) 205-5594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209364 | New York |
Profile Details
| NPI number | 1629067483 |
|---|---|
| LBN Legal business name | Kim, Yong R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Sep 20th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629067483 | NPPES |
| New York | MEDICAID | 01897034 | |
| New York | Other | 06378G |
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