Individual
DR. KYONGWOOK YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-8310
(585) 341-8096
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-8310
(585) 341-8096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
221734
NY
207RI0200X
Infectious Disease Physician
221734
NY
208M00000X
Hospitalist Physician
Primary
221734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491174
—
NY
01
—
118185BJ
PREFERRED CARE
NY
Enumeration date
06/06/2006
Last updated
09/11/2025
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