KIM MEDICAL OF NEW YORK PLLC NPI 1770230039

NPI Information

NPI: 1770230039
Provider Name: KIM MEDICAL OF NEW YORK PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
255 EXECUTIVE DR STE 210B
PLAINVIEW, NY
ZIP 11803
Phone: (833) 433-2273
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KIM MEDICAL OF NEW YORK PLLC is a primary care clinic center in Plainview, NY. KIM MEDICAL OF NEW YORK PLLC NPI is 1770230039. The provider is registered as an organization entity type.

The provider's business location address is:

255 EXECUTIVE DR STE 210B
PLAINVIEW, NY
ZIP 11803-711
Phone: (833) 433-2273

The provider's authorized official is David Kim .
The authorized official title is Owner and has the following contact phone number (917) 746-5942.

The enumeration date for this NPI number is 3/7/2022 and was last updated on 2/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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