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NPI Code Detail

MEDICARE: DR. DOSIK KIM M.D.

MEDICARE:  DR. DOSIK  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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician309099NY
2207RS0012XSleep Medicine (Internal Medicine) Physician309099NY
3207RP1001XPulmonary Disease Physician309099NY

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 : 1336237817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOSIK KIM M.D.
Provider Business Mailing Address
First Line : 5947 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3118
Country : US
Telephone Number : 718-605-2970
Fax Number : 718-605-7180
Provider Business Practice Location Address
First Line : 5947 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3118
Country : US
Telephone Number : 718-605-2970
Fax Number : 718-605-7180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 04/11/2024

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Directions to “ DR. DOSIK KIM M.D.” Practice Location

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