Individual
DR. CHUNG EUN P KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 N 7TH AVE, MT VERNON, NY 10550-2026
(914) 664-8000
Mailing address
18 HARBOR LN, RYE, NY 10580-2213
(914) 381-5001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
119172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366981
—
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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