Yim, Kyongwook

Yim, Kyongwook is an individual health care provider with primary practice located at 1000 South Ave , Rochester NY 14620-2733. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Yim, Kyongwook can be contacted via phone (585) 341-8310.

Contact Information

Primary practice address
1000 South Ave Rochester NY 14620-2733
Fax: (585) 341-8096
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 221734 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 221734 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 221734 New York

Profile Details

NPI number 1457390122
LBN Legal business name Yim, Kyongwook
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457390122 NPPES
New York Other 118185BJ PREFERRED CARE
New York MEDICAID 02491174 PREFERRED CARE

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