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Organization

KIM SING LO, D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIM SING LO D.O. (OWNER)
(212) 966-6655
Entity
Organization

Contact information

Practice address
110 LAFAYETTE ST RM 201, NEW YORK, NY 10013-4116
(212) 966-6655
(212) 966-6226
Mailing address
110 LAFAYETTE ST RM 201, NEW YORK, NY 10013-4116
(212) 966-6655
(212) 966-6226

Taxonomy

Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
183269
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02194961
NY
01
E70364
UPIN
NY
Enumeration date
11/28/2007
Last updated
11/28/2007
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