Jung-Yong Kim is a Specialist in East Patchogue, New York. Jung-Yong Kim practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jung-Yong Kim is 1013911478. The last update date is 2007-12-19.
Jung-Yong Kim's current location address is 285 Sills Rd, East Patchogue, New York. You can contact this provider via phone number 6317587575. The mailing address for Jung-Yong Kim is 285 Sills Rd, East Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jung-Yong Kim |
|---|---|
| Address | 285 Sills Rd, East Patchogue, New York |
| Phone Number | 6317587575 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013911478 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
| Address | 285 Sills Rd |
|---|---|
| City | East Patchogue |
| State | New York (NY) |
| Post Code | 1177248080 |
| Phone Number | 6317587575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 144403 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 786374 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jung-Yong Kim by the Centers for Medicare & Medicaid Services?
The Jung-Yong Kim has been assigned the NPI (National Provider Identifier) 1013911478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jung-Yong Kim is physically located?
The Jung-Yong Kim is situated at the following address: 285 Sills Rd, East Patchogue, NY 1177248080.
What is the Jung-Yong Kim's area of specialization and corresponding taxonomy classification?
The Jung-Yong Kim's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1013911478 to Jung-Yong Kim?
The Jung-Yong Kim received its 1013911478 assignment from the Centers for Medicare & Medicaid Services on 2005-06-13.
As of what date were the details related to Jung-Yong Kim most recently updated or revised?
The information pertaining to Jung-Yong Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-19.