Individual
MICHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(703) 963-6924
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(703) 963-6924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
315597
NY
Other
Enumeration date
04/04/2017
Last updated
12/18/2024
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