Kim, Daesong
Kim, Daesong is an sole proprietor health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kim, Daesong can be contacted via phone (631) 261-4400.Contact Information
Primary practice address
79 Middleville Rd
Northport NY 11768-2200
Phone: (631) 261-4400
Fax: (631) 266-6022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 129350 | New York |
Profile Details
| NPI number | 1447330998 |
|---|---|
| LBN Legal business name | Kim, Daesong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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