Individual
DR. MOONYANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10012 101 AVENUE, OZONE PARK, NY 11416
(718) 484-6790
(718) 848-4504
Mailing address
10012 101 AVENUE, OZONE PARK, NY 11416
(718) 484-6790
(718) 848-4504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211849
—
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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