Provider Demographics
NPI:1891730925
Name:KIM, HELEN HYO JUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:HYO JUNG
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WORTH STREET
Mailing Address - Street 2:BOX 22 RM 901 NYCDOHMH DIVISION OF DISEASE CONTROL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4006
Mailing Address - Country:US
Mailing Address - Phone:212-788-4711
Mailing Address - Fax:212-788-4734
Practice Address - Street 1:34-33 JUNCTION BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11372
Practice Address - Country:US
Practice Address - Phone:718-476-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1810281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0105AAMedicare ID - Type UnspecifiedGHI
NY010562Medicare ID - Type UnspecifiedGHI
F38264Medicare UPIN
NY935491Medicare ID - Type UnspecifiedEMPIRE