Healthcare Provider Details

I. General information

NPI: 1518272855
Provider Name (Legal Business Name): STEVE Y KIM MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 SYLVAN AVE SUITE 26
ENGLEWOOD CLIFFS NJ
07632-2726
US

IV. Provider business mailing address

385 SYLVAN AVE SUITE 26
ENGLEWOOD CLIFFS NJ
07632-2726
US

V. Phone/Fax

Practice location:
  • Phone: 201-569-9130
  • Fax: 201-569-9131
Mailing address:
  • Phone: 201-569-9130
  • Fax: 201-569-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE Y KIM
Title or Position: OWNER
Credential: MD PC
Phone: 201-569-9130