| Koam Medical Service P.c. | |
|
3511 Farrington St Flushing NY 11354-2826 | |
| (718) 886-6677 | |
| (718) 886-1413 |
| Full Name | Koam Medical Service P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3511 Farrington St, Flushing, New York |
| Authorized Official Name and Position | Ho Yon Kim (PRESIDENT) |
| Authorized Official Contact | 7188866677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koam Medical Service P.c. 3511 Farrington St Flushing NY 11354-2826 Ph: (718) 886-6677 | Koam Medical Service P.c. 3511 Farrington St Flushing NY 11354-2826 Ph: (718) 886-6677 |
| NPI Number | 1831125400 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831125400 | NPI | - | NPPES |
| 01769319 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 184700 (New York) | Primary |
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