Soo R Kim Md Pc

LBN: Soo R Kim Md Pc
Soo R Kim Md Pc is an health care organization with primary practice located at 29 West Oneida St , Oswego NY 13126. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Soo R Kim Md Pc can be contacted via phone (315) 343-5970, or through Kim, Soo R via phone (315) 343-5970.

Contact Information

Primary practice address
29 West Oneida St Oswego NY 13126
Phone: (315) 343-5970
Fax: (315) 343-3739
Website:
Map and Directions
Authorized official contact:
Name: Kim, Soo R Doctor of Medicine (MD)
Phone: (315) 343-5970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 149942 New York

Profile Details

NPI number 1730204421
LBN Legal business name Soo R Kim Md Pc
DBA Doing business as
Authorized official Kim, Soo R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Apr 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730204421 NPPES
Other 1851475958 CURRENT NPI#
MEDICAID 00758076 CURRENT NPI#

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