Individual
SANGHYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EAST 98TH ST, 14TH FL, NEW YORK, NY 10029-6574
(212) 241-8196
(212) 241-9042
Mailing address
1 GUSTAVE L LEVY PL, BOX 1263, NEW YORK, NY 10029-6574
(212) 241-8196
(212) 241-9042
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232581
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
232581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02647670
—
NY
01
—
094043
MEDICARE ID
NJ
Enumeration date
03/07/2006
Last updated
01/22/2010
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