Provider Demographics
NPI:1073549937
Name:KIM, POK C (MD)
Entity Type:Individual
Prefix:DR
First Name:POK
Middle Name:C
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 644
Mailing Address - Street 2:
Mailing Address - City:CASTLE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12511-0644
Mailing Address - Country:US
Mailing Address - Phone:845-831-2000
Mailing Address - Fax:845-838-5279
Practice Address - Street 1:POK C KIM,MD
Practice Address - Street 2:VA HUDSON VALLEY HCS
Practice Address - City:CASTLE POINT
Practice Address - State:NE
Practice Address - Zip Code:12511
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:845-838-5279
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032518207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine