Organization
TAEGYUN KIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAEGYUN KIM M.D. (DIRECTOR)
(301) 318-0507
Entity
Organization
Contact information
Practice address
14147 NORTHERN BLVD, SUITE #2R, FLUSHING, NY 11354-4238
(718) 461-2701
Mailing address
14147 NORTHERN BLVD, SUITE #2R, FLUSHING, NY 11354-4238
(718) 461-2701
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
263541
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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