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Individual

DR. HAE-OK KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
180 FORT WASHINGTON AVE FL 7, NEW YORK, NY 10032-3722
(212) 305-8555
(212) 305-3975
Mailing address
180 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3722
(212) 305-8555
(212) 305-3975

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2205131
NY
207Y00000X
Otolaryngology Physician
Primary
220513
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02744952
NY
Enumeration date
05/16/2006
Last updated
03/17/2018
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