Organization
KOAM MEDICAL SERVICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HO YON KIM M.D. (PRESIDENT)
(718) 886-6677
Entity
Organization
Contact information
Practice address
3511 FARRINGTON ST, FLUSHING, NY 11354-2826
(718) 886-6677
(718) 886-1413
Mailing address
3511 FARRINGTON ST, FLUSHING, NY 11354-2826
(718) 886-6677
(718) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
184700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01769319
—
NY
Enumeration date
06/24/2006
Last updated
08/22/2020
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