Kim, Young Sook

Kim, Young Sook is an individual health care provider with primary practice located at 33 Claudia Ct , Tappan NY 10983-1936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kim, Young Sook can be contacted via phone (845) 359-0289.

Contact Information

Primary practice address
33 Claudia Ct Tappan NY 10983-1936
Phone: (845) 359-0289
Fax: (845) 359-3241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA04569000 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1530801 New York

Profile Details

NPI number 1982641742
LBN Legal business name Kim, Young Sook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 19th, 2016 - about 8 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 1982641742 NPPES
New York MEDICAID 01440784
New York MEDICAID 8791503

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