Individual
DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 E 65TH ST, NEW YORK, NY 10065-6701
(212) 879-4700
Mailing address
201 E 65TH ST, NEW YORK, NY 10065-6701
(212) 879-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
296116
NY
Other
Enumeration date
06/14/2012
Last updated
06/17/2021
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