Individual
DR. ALICE YANG-HEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1735 ROUTE 9, HALFMOON, NY 12065-2421
(518) 458-2000
(518) 458-1524
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
227785
NY
207RC0000X
Cardiovascular Disease Physician
MD13512
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002028701
MEDICARE PTAN
RI
05
—
02376341
—
NC
05
—
110088547A
—
MA
05
—
AK83696
—
RI
Enumeration date
07/11/2005
Last updated
10/17/2024
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