Individual
CHUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE GUSTAVE LEVY PLACE, NEW YORK, NY 10029
(212) 241-6969
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
166080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01045216
—
NY
Enumeration date
01/11/2006
Last updated
03/03/2008
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