Individual
STANLEY-SANGWOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
38-34 PARSONS BLVD, SUITE 1A, FLUSHING, NY 11354
(646) 642-7371
(718) 428-1693
Mailing address
3372 170TH ST, FLUSHING, NY 11358-1812
(646) 642-7371
(718) 428-1693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238366
NY
2086X0206X
Surgical Oncology Physician
238366
NY
Other
Enumeration date
08/06/2006
Last updated
03/01/2010
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