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Contact Information

JU EUN KIM, D.O
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-444-0580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JU EUN KIM · (Male)

NPI Number 1871955625
Status Active
Credentials D.O
Entity Individual
Enumeration date 03/22/2016
Last updated 08/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 297488
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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