MEDICARE: ESTHER 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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1528825106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER KIM MD

Provider Business Mailing Address
First Line	:	111 E 210TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2401
Country	:	US
Telephone Number	:	718-920-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 WATERS PLACE, TOWER ONE
Second Line	:	PH-2
City	:	BRONX
State	:	NY
Zip	:	10461
Country	:	US
Telephone Number	:	347-842-1724
Fax Number	:	917-962-5410

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

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	06/15/2026

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