Kim, Heakyung

Kim, Heakyung is an individual health care provider with primary practice located at 180 Fort Washington Ave Harkness Pavilion - Suite 199, New York NY 10032-3722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Kim, Heakyung can be contacted via phone (212) 305-5337.

Contact Information

Primary practice address
180 Fort Washington Ave Harkness Pavilion - Suite 199 New York NY 10032-3722
Phone: (212) 305-5337
Fax: (212) 342-3138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 2596441 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 259644 New York

Profile Details

NPI number 1316960560
LBN Legal business name Kim, Heakyung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 24th, 2014 - about 12 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 1316960560 NPPES
New Jersey MEDICAID 7591705
New Jersey MEDICAID 001697740
New Jersey MEDICAID 01824964

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