Individual
SANG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1086 N BROADWAY STE 240, YONKERS, NY 10701-1115
(914) 377-0300
(914) 327-2183
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9817
(914) 327-2183
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
206338
NY
207UN0901X
Nuclear Cardiology Physician
206338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073352
—
NY
01
—
0D2653
ACS HEALTHNET
—
01
—
9C3981
BCBS
NY
01
—
P00119072
RAILROAD MEDICARE
NY
01
—
P2640511
OXFORD
—
Enumeration date
06/22/2006
Last updated
05/25/2021
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