Individual
DR. CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 E 38TH ST, 6TH FLOOR, NEW YORK, NY 10016
(646) 501-7200
(646) 501-7432
Mailing address
333 E 38TH ST, 6TH FLOOR, NEW YORK, NY 10016-2772
(646) 501-7200
(646) 501-7432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
220814
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
220814
NY
208VP0014X
Interventional Pain Medicine Physician
220814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566407
—
NY
Enumeration date
11/22/2005
Last updated
04/05/2021
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