Individual
DR. SEONG JA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
438 56TH STREET, BROOKLYN, NY 11220-3409
(718) 439-4979
(718) 439-4912
Mailing address
146 67TH STREET, BROOKLYN, NY 11220-4822
(718) 439-4979
(718) 492-4965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
189738
NY
208D00000X
General Practice Physician
Primary
A50743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01466802
—
NY
Enumeration date
12/13/2006
Last updated
09/11/2025
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