Organization
CHUNG H. KIM MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG HOON KIM MD (PRESIDENT)
(585) 381-1860
Entity
Organization
Contact information
Practice address
130 OFFICE PARK WAY, SUITE B, PITTSFORD, NY 14534-1700
(585) 381-1860
(585) 381-2269
Mailing address
130 OFFICE PARK WAY, SUITE B, PITTSFORD, NY 14534-1700
(585) 381-1860
(585) 381-2269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000915215002
HEALTH NOW
NY
05
—
01340963
—
NY
01
—
101412BT
PREFERRED CARE
NY
01
—
2308
BLUE CROSS BLUE SHIELD
NY
01
—
7068140
AETNA
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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