Individual
JOSEPH KIHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 686-2517
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 686-2517
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
329105
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
08/22/2024
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