Individual
DR. JOHN J. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143-16 SANFORD AVE., 1ST FLOOR, FLUSHING, NY 11355
(718) 445-1700
(718) 445-1704
Mailing address
143-16 SANFORD AVE., 1ST FLOOR, FLUSHING, NY 11355
(718) 445-1700
(718) 445-1704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
108205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54581141602
—
NY
Enumeration date
09/05/2006
Last updated
07/08/2007
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