Individual
DR. DONGSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 VALENTINE ST, MOUNT VERNON, NY 10550-2504
(914) 665-2267
(914) 693-7801
Mailing address
16 ARDEN DR, HARTSDALE, NY 10530-2936
(914) 693-8122
(914) 693-7801
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
165345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01709291
—
NY
Enumeration date
06/29/2006
Last updated
07/08/2007
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