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NPI Code Detail

MEDICARE: DR. CAREY KIM M.D.

MEDICARE: DR. CAREY 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
1207N00000XDermatology Physician290609NY

General Provider Information

NPI Number : 1659728822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAREY KIM M.D.
Provider Business Mailing Address
First Line : 3516 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number : 718-400-3376
Fax Number : 315-849-2535
Provider Business Practice Location Address
First Line : 3516 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number : 718-400-3376
Fax Number : 315-849-2535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 09/24/2025

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

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