Individual
DR. MICHAEL JOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 922-4840
(585) 922-3950
Mailing address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 922-4840
(585) 922-3950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
254292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03256008/RGH
—
NY
05
—
03635045
—
NY
Enumeration date
08/14/2006
Last updated
01/16/2014
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