Organization
KKB MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SUNG WON KIM M.D. (PRESIDENT)
(212) 794-0240
Entity
Organization
Contact information
Practice address
1317 3RD AVE, NEW YORK, NY 10021-2995
(212) 794-0240
Mailing address
1317 3RD AVE, NEW YORK, NY 10021-2995
(212) 794-0240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
225713
NY
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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