Kim, Taesoo

Kim, Taesoo is an individual health care provider with primary practice located at 1396 Myrtle Ave , Brooklyn NY 11237-4513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kim, Taesoo can be contacted via phone (718) 878-4314.

Contact Information

Primary practice address
1396 Myrtle Ave Brooklyn NY 11237-4513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 015595 New York

Profile Details

NPI number 1538428388
LBN Legal business name Kim, Taesoo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Feb 16th, 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.

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