Provider Demographics
NPI:1033373568
Name:KIM, JANE K (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:K
Last Name:KIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 ROUTE 59
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4927
Mailing Address - Country:US
Mailing Address - Phone:845-357-5775
Mailing Address - Fax:845-357-5777
Practice Address - Street 1:255 LAFAYETTE AVE
Practice Address - Street 2:GOOD SAMARITAN HOSPITAL
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4812
Practice Address - Country:US
Practice Address - Phone:845-368-5000
Practice Address - Fax:845-357-5777
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2012-11-02
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Provider Licenses
StateLicense IDTaxonomies
NY267006-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology