Individual
SOO JEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-9918
Mailing address
161 FORT WASHINGTON AVE FL 11, NEW YORK, NY 10032-3729
(212) 305-0114
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
315881
NY
Other
Enumeration date
04/07/2014
Last updated
10/26/2022
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