Individual
CHUNG HOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 OFFICE PKWY, SUITE B TOBEY VILLAGE OFFICE PARK, PITTSFORD, NY 14534-1700
(585) 381-1860
(585) 381-2269
Mailing address
130 OFFICE PKWY, SUITE B TOBEY VILLAGE OFFICE PARK, PITTSFORD, NY 14534-1700
(585) 381-1860
(585) 381-2269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
188548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01340963
—
NY
01
—
101412BT
PREFERRED CARE (ALL)
—
01
—
2308
BLUE CROSS BLUE SHIELD AL
—
01
—
7068140
AETNA ALL
—
01
—
MDF978
PREFERRED CARE ALL BILLIN
—
Enumeration date
08/01/2006
Last updated
07/08/2007
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