Tae Ho Kim
Plastic and Reconstructive Surgery
115 Washington Pl Unit B
New York
, New York 10014-6803
Tae Ho Kim
Plastic and Reconstructive Surgery
115 Washington Pl Unit B
New York
, New York 10014-6803
(212) 706-8743
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Tae Ho Kim
- 115 Washington Pl Unit B
- New York, NY
- Zip : 10014-6803
- Fax : (212) 706-8743
- Phone : (212) 706-8738
Second Address
- Tae Ho Kim
- 115 Washington Pl Unit B
- New York, NY
- Zip : 10014-6803
- Fax : (212) 706-8743
- Phone : (212) 706-8738
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 2384301 | NY |
National Provider Identifier
| NPI | 1164488508 |
|---|---|
| Provider Name | Tae Ho Kim |
| First Address | New York, NY 10014-6803 |
| Second Address | New York, NY 10014-6803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 03/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02729642 | (05) | NY |
| F67632 | (02) | 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.