Individual
BRANDON HOONGYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(631) 271-1640
Mailing address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(631) 271-1640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331687
NY
207RR0500X
Rheumatology Physician
Primary
331687
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
06/28/2025
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