Dr. Shine H Kim
Internist General Practice Physician Hospice and Palliative Medicine
4210 Colden St Apt 420
Flushing
, New York 11355-4848
Dr. Shine H Kim
Internist General Practice Physician Hospice and Palliative Medicine
4210 Colden St Apt 420
Flushing
, New York 11355-4848
(646) 644-0716
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Shine H Kim
- 4210 Colden St Apt 420
- Flushing, NY
- Zip : 11355-4848
- Phone : (646) 644-0716
Second Address
- Dr. Shine H Kim
- 4210 Colden St Apt 420
- Flushing, NY
- Zip : 11355-4848
- Phone : (646) 644-0716
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 39 | NY |
| N | 111NI0900X | Internist | 39 | NY |
| N | 207RH0002X | Hospice and Palliative Medicine | 39 | NY |
| N | 208D00000X | General Practice Physician | 39 | NY |
National Provider Identifier
| NPI | 1093968737 |
|---|---|
| Provider Name | Dr. Shine H Kim |
| First Address | Flushing, NY 11355-4848 |
| Second Address | Flushing, NY 11355-4848 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2008 |
| Last Update Date | 28/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1234567810 | (02) | NY |
| 1234567810 | (05) | 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.