Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 183269 | NY |
NPI | 1528029808 |
---|---|
Provider Name | Dr. Kim Sing Lo |
First Address | New York, NY 10013-4116 |
Second Address | New York, NY 10013-4116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02194961 | (05) | NY |
E70364 | (02) | NY |