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Individual

ANTHONY H KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2155 STATE ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 563-8000
(518) 563-9001
Mailing address
2155 STATE ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 563-8000
(518) 563-9001

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
165964
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01561004
NY
Enumeration date
06/12/2006
Last updated
12/26/2012
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