Provider Demographics
NPI:1609425040
Name:YOOJIN KIM M.D.P.C
Entity Type:Organization
Organization Name:YOOJIN KIM M.D.P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOOJIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-463-8100
Mailing Address - Street 1:15814 NORTHERN BLVD STE ML7
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1600
Mailing Address - Country:US
Mailing Address - Phone:718-463-8100
Mailing Address - Fax:718-463-8409
Practice Address - Street 1:15814 NORTHERN BLVD STE ML7
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1600
Practice Address - Country:US
Practice Address - Phone:718-463-8100
Practice Address - Fax:718-463-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty