MEDICARE: DR. ALICE YANG-HEE 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
1	207RC0000X	Cardiovascular Disease Physician	227785	NY
2	207RC0000X	Cardiovascular Disease Physician	MD13512	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	002028701	OTHER	RI	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1407854797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICE YANG-HEE KIM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:	518-525-5634
Fax Number	:	518-649-4094

Provider Business Practice Location Address
First Line	:	900 WARREN AVE STE 302
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-1430
Country	:	US
Telephone Number	:	401-606-1004
Fax Number	:	401-606-1153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	05/21/2026

Similar Medicare Providers

1841285384 — LESLIE KENNEY NP
Practice Location Address:

900 WARREN AVE , SUITE 401
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 800-508-4908
Practice Fax: 401-228-6236

1770577298 — DR. JOSEPH TERLATO MD
Practice Location Address:

900 WARREN AVE , SUITE 401
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 800-508-4908
Practice Fax: 401-228-6236

1811982374 — WENDY SPELLUN NP
Practice Location Address:

900 WARREN AVE , SUITE 401
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 800-508-4908
Practice Fax: 401-228-6236

1417944190 — DR. RAJNISH BANSAL MD
Practice Location Address:

900 WARREN AVE , STE 400
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 401-331-1221
Practice Fax: 401-751-8003

1144217829 — SUZANNE BURNS MD
Practice Location Address:

900 WARREN AVE , SUITE 400
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 401-331-1221
Practice Fax: 401-751-8003

1437146131 — DR. MICHAEL POMERANTZ MD
Practice Location Address:

900 WARREN AVE , SUITE 401
EAST PROVIDENCE, RI
02914-1430

Practice Phone: 800-508-4908
Practice Fax: 401-228-6236

Directions to “ DR. ALICE YANG-HEE KIM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.