Kim, Yong R

Kim, Yong R is an sole proprietor health care provider with primary practice located at 8635 Queens Blvd Suite1E, Elmhurst NY 11373-4434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Yong R can be contacted via phone (718) 205-4544.

Contact Information

Primary practice address
8635 Queens Blvd Suite1E Elmhurst NY 11373-4434
Phone: (718) 205-4544
Fax: (718) 205-5594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209364 New York

Profile Details

NPI number 1629067483
LBN Legal business name Kim, Yong R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629067483 NPPES
New York MEDICAID 01897034
New York Other 06378G

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