Healthcare Provider Details

I. General information

NPI: 1689881724
Provider Name (Legal Business Name): EUGENE RHIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E 86TH ST SUITE 502
NEW YORK NY
10028-3003
US

IV. Provider business mailing address

210 E 86TH ST SUITE 502
NEW YORK NY
10028-3003
US

V. Phone/Fax

Practice location:
  • Phone: 212-744-2345
  • Fax: 212-744-2129
Mailing address:
  • Phone: 212-744-2345
  • Fax: 212-744-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number244181
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: