Individual
DR. IRINE J KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
492 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1142
(631) 271-9151
(631) 271-9155
Mailing address
492 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1142
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
215522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215522-1
LICENSE
NY
Enumeration date
01/05/2007
Last updated
02/01/2010
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