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NPI Code Detail

MEDICARE: DR. DAVID HOI KIM MD

MEDICARE: DR. DAVID HOI KIM MD
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
1207Q00000XFamily Medicine Physician215860NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013981331
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID HOI KIM MD
Provider Business Mailing Address
First Line : 2079 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1735
Country : US
Telephone Number : 718-815-6560
Fax Number :
Provider Business Practice Location Address
First Line : 2079 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1735
Country : US
Telephone Number : 718-815-6560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID HOI KIM MD” Practice Location

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