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Organization
HWAOK KIM MD PLLC
Active
Organization
HWAOK KIM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HWAOK KIM M.D. (DOCTOR/DOCTOR)
(585) 436-1620
Entity
Organization
Contact information
Practice address
2735 BUFFALO RD, SUITE 1, ROCHESTER, NY 14624-1337
(585) 436-1620
(585) 527-9049
Mailing address
2735 BUFFALO RD, SUITE 1, ROCHESTER, NY 14624-1337
(585) 436-1620
(585) 527-9049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03118870
—
NY
01
—
101727BJ
MVP/PREFERRED CARE
NY
01
—
P01020836
EXCELLUS BLUE CROSS/BLUE SHIELD
NY
01
—
P020208136
EXCELLUS HMO'S
NY
Enumeration date
01/05/2009
Last updated
10/20/2010
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