Organization
ESSENTIAL ALLERGY, ASTHMA, ATOPY FAMILYCARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINSOO KIM M.D. (OWNER)
(914) 610-0406
Entity
Organization
Contact information
Practice address
3130 GRAND CONCOURSE, STE 1N, BRONX, NY 10458-1213
(914) 610-0406
(718) 561-8499
Mailing address
3130 GRAND CONCOURSE, STE 1N, BRONX, NY 10458-1213
(914) 610-0406
(718) 561-8499
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
246281
NY
261QM2500X
Medical Specialty Clinic/Center
246281
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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