Individual
ANTHONY C KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
60 MERRICK AVE, EAST MEADOW, NY 11554-1578
(516) 222-9300
Mailing address
21 EAGLE LN, ROSLYN, NY 11576-2501
(516) 458-7127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208533-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091349
—
NY
Enumeration date
07/25/2006
Last updated
09/03/2014
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