Dr. Irene T Kim
Dentist Periodontist
225 E 64th St Ste 1
New York
, New York 10065-6684
Dr. Irene T Kim
Dentist Periodontist
225 E 64th St Ste 1
New York
, New York 10065-6684
(443) 813-0628
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About
Features
Specialties
- Dentist
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Irene T Kim
- 311 E 50th St Apt 14a
- New York, NY
- Zip : 10022-7941
- Phone : (443) 813-0628
Second Address
- Dr. Irene T Kim
- 225 E 64th St Ste 1
- New York, NY
- Zip : 10065-6684
- Phone : (212) 838-0940
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DN1857701 | MA |
| Y | 1223P0300X | Periodontist | 061036 | NY |
National Provider Identifier
| NPI | 1003339953 |
|---|---|
| Provider Name | Dr. Irene T Kim |
| First Address | New York, NY 10022-7941 |
| Second Address | New York, NY 10065-6684 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2017 |
| Last Update Date | 25/02/2021 |
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.