Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 206338 | NY |
NPI | 1023054202 |
---|---|
Provider Name | Sang H Kim |
First Address | New York, NY 10032-3725 |
Second Address | Yonkers, NY 10701-1115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 25/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02073352 | (05) | NY |
0D2653 | ACS HEALTHNET (01) | |
9C3981 | BCBS (01) | NY |
H13518 | (02) | NY |
P00119072 | RAILROAD MEDICARE (01) | NY |
P2640511 | OXFORD (01) |