Individual
DR. DOUGLAS DUCK YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8642 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1439
(718) 849-3593
(718) 850-3675
Mailing address
8642 WOODHAVEN BLVD, WOODHAVEN, NY 11421-1439
(718) 849-3593
(718) 850-3675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206377
—
NY
01
—
254319200
ACS OWCP DOL
—
Enumeration date
10/24/2006
Last updated
11/25/2010
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