| Young W. Kim | |
|
3130 Grandconcourse 1n Bronx NY 10458 | |
| (718) 561-8499 | |
| Not Available |
| Full Name | Young W. Kim |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3130 Grandconcourse 1n, Bronx, New York |
| Authorized Official Name and Position | Young Kim (MD) |
| Authorized Official Contact | 7183650892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young W. Kim 3130 Grandconcourse 1n Bronx NY 10458 Ph: (718) 561-8499 | Young W. Kim 3130 Grandconcourse 1n Bronx NY 10458 Ph: (718) 561-8499 |
| NPI Number | 1134210339 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134210339 | NPI | - | NPPES |
| 00844922 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 151047 (New York) | Primary |
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