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Contact Information

ALICE KIM
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-8450
 Fax: 401-444-5088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ALICE KIM · (Female)

NPI Number 1316166531
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD491841
  • RI License # LP00500
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • MERCY MEDICAL CENTER - (Acute Care)
    1000 NORTH VILLAGE AVENUE
    ROCKVILLE CENTRE, NY 11570
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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