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Individual

DR. PETER S. KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1317 3RD AVE, 7TH FLOOR, NEW YORK, NY 10021
(212) 570-2075
(212) 570-2038
Mailing address
1317 3RD AVE, 7TH FLOOR, NEW YORK, NY 10021
(212) 570-2075
(212) 570-2038

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
190910
NY
207RG0100X
Gastroenterology Physician
Primary
190910
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01502170
NY
Enumeration date
07/18/2006
Last updated
07/23/2013
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