Organization · NPI-2

A Kim Medical PC

Urology · Stony Brook, NY

NPI number1467622266
StatusActive
Last updated in NPPESAug 4, 2009

Details

NPI
1467622266
Entity type
Organization (NPI-2)
Legal business name
A Kim Medical PC
Organization subpart
No
Enumeration date
Mar 7, 2008
Last updated
Aug 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology167661-1NYYes

Practice location

2500 Nesconset Hwy
Building 21a
Stony Brook, NY 11790-2555

Phone 631-751-4000 · Fax 631-246-6176

Mailing address

Po Box 29066
New York, NY 10087-9066

Phone 631-751-4000 · Fax 631-246-6176

Authorized official

Albert N Kim
President
6317514000

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