Provider Demographics
NPI:1225132582
Name:KIM, JOYCE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:M
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:JOYCE M KIM MD
Mailing Address - Street 2:885 PARK AVE STE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0325
Mailing Address - Country:US
Mailing Address - Phone:212-737-3282
Mailing Address - Fax:212-772-8987
Practice Address - Street 1:885 PARK AVE STE 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0325
Practice Address - Country:US
Practice Address - Phone:212-737-3282
Practice Address - Fax:212-772-8987
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY174592207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3C6223OtherHEALTHNET
NYP1957215OtherOXFORD
NYP1957215OtherOXFORD
49F971Medicare ID - Type Unspecified