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Individual

DR. DAVID D KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
177315-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000085413
GHI HMO
01
000405016001
BLUE SHIELD NENY
01
000405016002
BLUE SHIELD NENY
05
01273418
NY
01
040426006649
FIDELIS
01
05155
MVP
01
10001061
CDPHP
01
110160500
US DEPT OF LABOR
01
177315-1
TRICARE NORTH REGION
01
33588K
FIDELIS MEDICARE
01
9715959
GHI
01
CAN1773159
NO FAULT
01
DK094V4110
EMPIRE BLUE CROSS
01
DK094V4120
EMPIRE BLUE CROSS
01
E42294
AMERICAN PROGRESSIVE TODA
Enumeration date
08/18/2005
Last updated
01/26/2011
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