Individual
YOUNG SOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 CLAUDIA CT, TAPPAN, NY 10983-1936
(845) 359-0289
(845) 359-3241
Mailing address
33 CLAUDIA CT, TAPPAN, NY 10983-1936
(845) 359-0289
(845) 359-3241
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
1530801
NY
2085R0001X
Radiation Oncology Physician
Primary
25MA04569000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01440784
—
NY
05
—
8791503
—
NJ
Enumeration date
06/01/2006
Last updated
03/19/2016
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