Individual
DR. DAVE SUNGSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8210
(718) 831-0368
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8210
(718) 831-0368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
272769
NY
2084P0805X
Geriatric Psychiatry Physician
272769
NY
Other
Enumeration date
04/18/2012
Last updated
04/30/2018
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