Individual
DENNIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
264 WASHINGTON AVENUE EXT STE 201, ALBANY, NY 12203-6352
(518) 452-1928
(518) 362-1348
Mailing address
264 WASHINGTON AVENUE EXT STE 201, ALBANY, NY 12203-6352
(518) 452-1928
(518) 362-1348
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
129827
CA
207N00000X
Dermatology Physician
270858
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
297062-01
NY
Other
Enumeration date
05/23/2012
Last updated
06/15/2022
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