Organization
WOO SUP KIM M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOO SUP KIM M.D (D.R)
(718) 845-6000
Entity
Organization
Contact information
Practice address
9711 101ST AVE, OZONE PARK, NY 11416-2523
(718) 845-6000
Mailing address
9711 101ST AVE, OZONE PARK, NY 11416-2523
(718) 845-6000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
160493
NY
Other
Enumeration date
01/27/2012
Last updated
03/02/2012
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