Individual
DR. KIMBERLY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8318 4TH AVE, BROOKLYN, NY 11209-4413
(718) 748-0500
Mailing address
408 E 92ND ST APT 23A, NEW YORK, NY 10128-6838
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
295045-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
295045-1
NY
Other
Enumeration date
05/08/2010
Last updated
08/13/2019
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