Individual
TAE HYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 MAIN ST APT 14D, NEW YORK, NY 10044-0094
(617) 460-9639
Mailing address
475 MAIN ST APT 14D, NEW YORK, NY 10044-0094
(617) 460-9639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P110238
NY
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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