Individual
HYUNG LEONA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 E 98TH ST, 12TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-5044
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6574
(212) 659-8031
(212) 348-2974
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
181209
NY
207RG0100X
Gastroenterology Physician
181209
NY
207RI0008X
Hepatology Physician
Primary
181209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01531759
—
NY
01
—
4620711
AETNA PPO
NY
01
—
NS4180
OXFORD
NY
Enumeration date
08/22/2006
Last updated
03/05/2021
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