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Individual
DR. MARK Y KIM
Active
Individual
DR. MARK Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234385-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027258001
UNIVERA
NY
01
—
000528214001
HEALTH NOW
NY
05
—
02680335
—
NY
01
—
0412847
IHA
NY
01
—
161000580
EMPIRE PLAN
NM
Enumeration date
01/11/2006
Last updated
11/16/2020
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