# GOTHAM GASTROENTEROLOGY, PLLC

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

## Provider details

- **NPI number:** 1659698116
- **Authorized official:** DR. PETER SUNGWON KIM M.D. (PARTNER)
- **Authorized official phone:** (212) 794-0240

## Contact information

- **Practice address:** 1317 3RD AVE, NEW YORK, NY 10021-2995
- **Practice address phone:** (212) 794-0240
- **Practice address fax:** (212) 570-2038
- **Mailing address:** 1317 3RD AVE, NEW YORK, NY 10021-2995
- **Mailing address phone:** (212) 794-0240
- **Mailing address fax:** (212) 570-2038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 190910 | NY | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010
