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NPI Code Detail

MEDICARE: DANNY NIEVES-KIM MD MPH

MEDICARE:   DANNY  NIEVES-KIM  MD MPH
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
1207QA0401XAddiction Medicine (Family Medicine) PhysicianA157693CA
2207QA0401XAddiction Medicine (Family Medicine) Physician322809NY

General Provider Information

NPI Number : 1871028894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY NIEVES-KIM MD MPH
Provider Business Mailing Address
First Line : 49 5TH AVE # 1173
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 494 DUMONT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-5017
Country : US
Telephone Number : 718-345-1178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2017
Last Update Date : 01/08/2026

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Directions to “ DANNY NIEVES-KIM MD MPH” Practice Location

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