Christi Young-Ah Kim
Medical Oncology
230 Waterford Pkwy S
Waterford
, Connecticut 06385-1219
Christi Young-Ah Kim
Medical Oncology
230 Waterford Pkwy S
Waterford
, Connecticut 06385-1219
(646) 352-1600
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Christi Young-Ah Kim
- 28 Hamlet Woods Dr
- Saint James, NY
- Zip : 11780-3167
- Phone : (646) 352-1600
Second Address
- Christi Young-Ah Kim
- 230 Waterford Pkwy S
- Waterford, CT
- Zip : 06385-1219
- Fax : (860) 271-4947
- Phone : (860) 444-3744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RX0202X | Medical Oncology | 2822966 | NY |
| Y | 207RX0202X | Medical Oncology | 69562 | CT |
National Provider Identifier
| NPI | 1053475673 |
|---|---|
| Provider Name | Christi Young-Ah Kim |
| First Address | Saint James, NY 11780-3167 |
| Second Address | Waterford, CT 06385-1219 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 18/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02822966 | (05) | NY |
| 1003535P | HIP (01) | NY |
| 10053770301 | UNITEDHEALTHCARE COMMUNITY PLAN (01) | NY |
| 120306000078 | FIDELIS (01) | NY |
| 2417484 | GHI (01) | NY |
| 24232801 | SUFFOLK HEALTH PLAN (01) | NY |
| 3079995 | CIGNA (01) | NY |
| 522CJ2 | BLUE SHIELD (01) | NY |
| 7466892 | AETNA (01) | NY |
| 998725 | VYTRA (01) | NY |
| P01040768 | RR MEDICARE (01) | NY |
| P4501305 | OXFORD (01) | NY |
| WEZ3504051 | GHI (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.