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Organization
PREMIER FAMILY MEDICINE PC
Active
Organization
PREMIER FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG R KIM M.D. (PRESIDENT)
(718) 205-4544
Entity
Organization
Contact information
Practice address
86-35 QUEENS BLVD, 1-E, ELMHURST, NY 11373
(718) 205-4544
(718) 205-5594
Mailing address
86-35 QUEENS BLVD, 1-E, ELMHURST, NY 11373
(718) 205-4544
(718) 205-5594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06378
GHI-MEDICARE
NY
Enumeration date
07/31/2007
Last updated
01/25/2013
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