Kim, Jung-Ah

Kim, Jung-Ah is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kim, Jung-Ah can be contacted via phone (315) 464-5276.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-5276
Fax: (315) 464-5943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 198678 New York

Profile Details

NPI number 1194748871
LBN Legal business name Kim, Jung-Ah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 16th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194748871 NPPES
New York Other 198678 NYS LICENSE
New York MEDICAID 01713597 NYS LICENSE

Popular Providers