Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 181209 | NY |
N | 207RG0100X | Gastroenterologist | 181209 | NY |
NPI | 1245346139 |
---|---|
Provider Name | Hyung Leona Kim |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01531759 | (05) | NY |
4620711 | AETNA PPO (01) | NY |
F84364 | (02) | NY |
NS4180 | OXFORD (01) | NY |