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Organization
GOTHAM GASTROENTEROLOGY, PLLC
Active
Organization
GOTHAM GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SUNGWON KIM M.D. (PARTNER)
(212) 794-0240
Entity
Organization
Contact information
Practice address
1317 3RD AVE, NEW YORK, NY 10021-2995
(212) 794-0240
(212) 570-2038
Mailing address
1317 3RD AVE, NEW YORK, NY 10021-2995
(212) 794-0240
(212) 570-2038
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
190910
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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