Johnny Junhong Kim, DDS | |
1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | |
(516) 222-1822 | |
Not Available |
Full Name | Johnny Junhong Kim |
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Gender | Male |
Speciality | Dentist - Endodontics |
Location | 1103 Stewart Ave Ste 104, Garden City, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932720513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 062163 (New York) | Primary |
Entity Name | Union Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437255155 PECOS PAC ID: 4486545266 Enrollment ID: O20040322001358 |
Entity Name | St Barnabas Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1477228971 PECOS PAC ID: 5395740922 Enrollment ID: O20220325002116 |
Mailing Address | Practice Location Address |
---|---|
Johnny Junhong Kim, DDS 555 10th St Unit 304, Palisades Park, NJ 07650-3152 Ph: (703) 231-1882 | Johnny Junhong Kim, DDS 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 Ph: (516) 222-1822 |
Dr. Anthony Patrick Randi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 233 7th St, Suite 303, Garden City, NY 11530 Phone: 516-742-2961 Fax: 516-742-6424 | |
Dr. Raymond F. Mehlman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 520 Franklin Ave, Suite 221, Garden City, NY 11530 Phone: 516-747-5520 Fax: 516-741-5590 | |
Dr. Doreen Faye Toskos, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 520 Franklin Ave Ste 112, Garden City, NY 11530 Phone: 516-746-3636 | |
Elisheva Aziza Rosenfeld, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 1325 Franklin Ave Ste 101, Garden City, NY 11530 Phone: 516-879-7609 Fax: 516-879-7610 | |
Dr. Sanghyun Park, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1103 Stewart Ave Ste 104, Garden City, NY 11530 Phone: 516-222-1822 | |
Dr. Eugene P Pezzollo, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 601 Franklin Ave, Garden City, NY 11530 Phone: 516-741-4415 | |
Eric Young Shon, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1103 Stewart Ave, Garden City, NY 11530 Phone: 516-222-1822 |