Individual
TAE HO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 WASHINGTON PL, UNIT B, NEW YORK, NY 10014-6803
(212) 706-8738
(212) 706-8743
Mailing address
115 WASHINGTON PL, UNIT B, NEW YORK, NY 10014-6803
(212) 706-8738
(212) 706-8743
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2384301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02729642
—
NY
Enumeration date
04/25/2006
Last updated
03/03/2014
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