Organization · NPI-2

Albert Kim, MD,pc

Urology · Stony Brook, NY

NPI number1558334342
StatusActive
Last updated in NPPESJun 9, 2008

Details

NPI
1558334342
Entity type
Organization (NPI-2)
Legal business name
Albert Kim, MD,pc
Organization subpart
No
Enumeration date
Feb 10, 2006
Last updated
Jun 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology1676611NYYes

Practice location

2500 Nesconset Hwy
Bldg #21 Ste 6
Stony Brook, NY 11790-2555

Phone 631-751-4000 · Fax 631-246-6176

Mailing address

2500 Nesconset Hwy
Bldg #21 Ste 76
Stony Brook, NY 11790-2555

Phone 631-751-4000 · Fax 631-246-6176

Authorized official

Albert N Kim
Owner
6317514000

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