Individual
DR. JASON MICHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF UROLOGY HSC 9, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-7148
(631) 444-1916
(631) 444-7620
Mailing address
DEPARTMENT OF UROLOGY HSC 9, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-7148
(631) 444-1916
(631) 444-7620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
261117
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
261117
NY
Other
Enumeration date
04/15/2008
Last updated
03/25/2025
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