Individual
HEAKYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 FORT WASHINGTON AVE, HARKNESS PAVILION - SUITE 199, NEW YORK, NY 10032-3722
(212) 305-5337
(212) 342-3138
Mailing address
180 FORT WASHINGTON AVE, HARKNESS PAVILION - SUITE 199, NEW YORK, NY 10032-3722
(212) 305-5337
(212) 342-3138
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
259644
NY
2081P0010X
Pediatric Rehabilitation Medicine Physician
2596441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001697740
—
PA
05
—
01824964
—
NY
05
—
7591705
—
NJ
Enumeration date
07/26/2006
Last updated
07/24/2014
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