# ESSENTIAL ALLERGY, ASTHMA, ATOPY FAMILYCARE, P.C.

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

## Provider details

- **NPI number:** 1417494766
- **Authorized official:** MINSOO KIM M.D. (OWNER)
- **Authorized official phone:** (914) 610-0406

## Contact information

- **Practice address:** 3130 GRAND CONCOURSE, STE 1N, BRONX, NY 10458-1213
- **Practice address phone:** (914) 610-0406
- **Practice address fax:** (718) 561-8499
- **Mailing address:** 3130 GRAND CONCOURSE, STE 1N, BRONX, NY 10458-1213
- **Mailing address phone:** (914) 610-0406
- **Mailing address fax:** (718) 561-8499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 246281 | NY | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 246281 | NY | — |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017
