Individual
DAVID KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE RM C-597, NEW YORK, NY 10065-6007
(212) 639-5900
Mailing address
1275 YORK AVE RM C-597, NEW YORK, NY 10065-6007
(212) 639-5900
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
307624
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2017
Last updated
06/14/2023
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