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NPI Code Detail

MEDICARE: DR. DONALD MATTHEW KIM M.D.

MEDICARE: DR. DONALD MATTHEW KIM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician201447NY
2208M00000XHospitalist Physician201447NY

General Provider Information

NPI Number : 1780677427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD MATTHEW KIM M.D.
Provider Business Mailing Address
First Line : 1 GUSTAVE L LEVY PL # 3000
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5141 BROADWAY
Second Line : RM 2-095
City : NEW YORK
State : NY
Zip : 10034-1159
Country : US
Telephone Number : 212-932-5218
Fax Number : 212-932-5258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 03/04/2019

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