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NPI Code Detail

MEDICARE: ALICE KIM MD

MEDICARE: ALICE 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
1207VX0000XObstetrics Physician211856NY

General Provider Information

NPI Number : 1366403982
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE KIM MD
Provider Business Mailing Address
First Line : PO BOX 32594
Second Line :
City : HARTFORD
State : CT
Zip : 06150-2594
Country : US
Telephone Number : 212-308-1112
Fax Number : 212-308-1616
Provider Business Practice Location Address
First Line : 50 W 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-5116
Country : US
Telephone Number : 212-579-6000
Fax Number : 212-579-3687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 07/08/2007

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Directions to “ ALICE KIM MD” Practice Location

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