Individual
DANIEL WONSUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 RED CREEK DR STE 211, ROCHESTER, NY 14623-4262
(585) 487-1700
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT219423
PA
2086X0206X
Surgical Oncology Physician
Primary
322386
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
05/06/2025
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