Ae Chan Kim, MD is a
Surgery physician based in Nyack,, New York. Ae Chan Kim is licensed to practice in New York (license number 117579) and his current practice location is 43 Tweed Blvd, Nyack,, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 634-1799.
NPI number for Ae Chan Kim is 1992896674 and his current mailing address is 43 Tweed Blvd, Nyack,, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992896674.
Physician's Profile
| Full Name | Ae Chan Kim |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 43 Tweed Blvd, Nyack,, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992896674
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ae Chan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992896674 | NPI | - | NPPES |
| 117579 | Other | NY | LICENSE |
| 00218277 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 117579 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ae Chan Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ae Chan Kim, MD
43 Tweed Blvd,
Nyack,, NY 10960
Ph: (845) 634-1799 | Ae Chan Kim, MD
43 Tweed Blvd,
Nyack,, NY 10960
Ph: (845) 634-1799 |
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