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JAY D KIM, DMD, MD – NPI #1891920575
Oral & Maxillofacial Surgery

NPI Profile for Dr JAY D KIM in NEW YORK, NY.

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Contact Information

JAY D KIM, DMD, MD
119 W 57TH ST STE 914
NEW YORK, NY  10019-2401
 Phone: 212-746-5175
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAY D KIM · (Male)

NPI # 1891920575
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 05/25/2009
Last updated 10/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 058413
  • NY License # P69669 LIMITEDPERMIT
Hospital affiliation(s) Not Available
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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