Individual
EDWARD KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-8426
(212) 410-1973
Mailing address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-8426
(212) 410-1973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
245357
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
245357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245357
LICENSE
NY
Enumeration date
04/15/2008
Last updated
10/01/2021
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