Kim, Jung
Kim, Jung is an individual health care provider with primary practice located at 550 1St Ave Rusk 607, New York NY 10016-6402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Jung can be contacted via phone (212) 263-5072.Contact Information
Primary practice address
550 1St Ave Rusk 607
New York NY 10016-6402
Phone: (212) 263-5072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 191520 | New York |
Profile Details
| NPI number | 1366432460 |
|---|---|
| LBN Legal business name | Kim, Jung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Apr 2nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366432460 | NPPES |
| New York | MEDICAID | 02111728 |
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