Individual
DR. SEUNG GI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
785 WESTCHESTER AVE, BRONX, NY 10455-1722
(718) 589-5500
Mailing address
106 SEAMAN RD, JERICHO, NY 11753-1610
(516) 336-6085
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
140515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914512
—
NY
Enumeration date
11/17/2006
Last updated
07/09/2007
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