Individual
PAMELA SUE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
STONY BROOK MEDICINE, 101 NICOLLS ROAD, HSC T19-090, STONY BROOK, NY 11794-0001
(631) 444-2040
(631) 444-6031
Mailing address
PO BOX 1554, STONY BROOK MEDICINE, STONY BROOK, NY 11790-0988
(631) 444-2040
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
280575
NY
Other
Enumeration date
04/30/2010
Last updated
09/01/2015
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