Individual
DR. CHI-YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 E 68TH ST, BAKER 21, NEW YORK, NY 10065-4870
(212) 746-5175
Mailing address
1320 YORK AVE APT 18M, NEW YORK, NY 10021-4859
(646) 784-4737
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
P51864
NY
Other
Enumeration date
07/30/2007
Last updated
01/19/2010
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