Organization
STANLEY-SANGWOOK KIM D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY-SANGWOOK KIM D.O. (OWNER)
(646) 642-7371
Entity
Organization
Contact information
Practice address
3834 PARSONS BLVD, SUITE 1A, FLUSHING, NY 11354-5832
(646) 642-7371
(718) 961-4603
Mailing address
3372 170TH ST, FLUSHING, NY 11358-1812
(646) 642-7371
(718) 961-4603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238366
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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