Kimm, David W

Kimm, David W is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kimm, David W can be contacted via phone (718) 670-1435.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-1435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 186739 New York

Profile Details

NPI number 1679509764
LBN Legal business name Kimm, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 11th, 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 1679509764 NPPES
New York MEDICAID 01849494/003

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