Individual
DR. HAN JO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2837
(646) 797-8428
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2011003933
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
246398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03561520
—
NY
Enumeration date
05/15/2008
Last updated
04/12/2021
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