Individual
SU JEOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST PH 18, NEW YORK, NY 10032-3720
(212) 305-9535
Mailing address
622 W 168TH ST PH 18, NEW YORK, NY 10032-3720
(212) 305-9535
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
335825
NY
Other
Enumeration date
04/02/2021
Last updated
04/15/2025
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