# T.Y. KIM, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215953773
- **Authorized official:** LAURA SUTHERLAND (ASSISTANT VICE PRESIDENT)
- **Authorized official phone:** (914) 966-9787

## Contact information

- **Practice address:** 967 N BROADWAY, YONKERS, NY 10701-1301
- **Practice address phone:** (914) 966-9787
- **Practice address fax:** (914) 966-9793
- **Mailing address:** PO BOX 998, ATTN: RIVERSIDE MANAGEMENT SERVICES ORG, YONKERS, NY 10703-0998
- **Mailing address phone:** (914) 966-9787
- **Mailing address fax:** (914) 966-9793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 06/30/2008