Sudama, Kim

Sudama, Kim is an individual health care provider with primary practice located at 1428 5Th Ave , Bay Shore NY 11706-4147. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Sudama, Kim can be contacted via phone (631) 392-0081.

Contact Information

Primary practice address
1428 5Th Ave Bay Shore NY 11706-4147
Phone: (631) 392-0081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 012854 New York

Profile Details

NPI number 1700929601
LBN Legal business name Sudama, Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 2nd, 2023 - about 2 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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