Individual
DR. BARUCH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
39 W 14TH ST STE 205, NEW YORK, NY 10011-7406
(646) 725-4600
Mailing address
4116 160TH ST, FLUSHING, NY 11358-2522
(917) 362-3687
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A291863-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
04/21/2023
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