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Individual

JAE WHAN KIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-3362
Mailing address
100 HARBOR VIEW DR, APT 551, PORT WASHINGTON, NY 11050-4700
(516) 883-3371
(516) 883-3371

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
133905
NY

Other

Enumeration date
12/13/2005
Last updated
07/08/2007
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