Individual
CHONG T KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-8072
Mailing address
350 ARLEIGH RD, DOUGLASTON, NY 11363-1145
(718) 279-4367
(212) 939-8072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029900
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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