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Contact Information

TAE H KIM, MD
115 WASHINGTON PL
UNIT B
NEW YORK, NY10014-6803
 Phone: 212-706-8738
 Fax: 212-706-8743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TAE H KIM · (Male)

NPI Number 1164488508
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 03/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 2384301
  • NY Medicaid 02729642
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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