Organization
IRINE KIM, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINE KIM M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
492 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1142
(631) 271-9151
(631) 271-9155
Mailing address
492 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1142
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
215522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215522-1
NYS LICENSE
NY
Enumeration date
10/04/2015
Last updated
10/04/2015
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