Woo Sup Kim M D P C
NPI #1104198878 in Ozone Park, New York
Provider Information
- NPI Number
- 1104198878
- Entity Type
- Organization
- Organization Name
- Woo Sup Kim M D P C
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Mar 2, 2012
Practice Location
- Address
- 9711 101ST AVE
- City
- Ozone Park
- State
- New York
- ZIP Code
- 11416-2523
- Phone
- (718) 845-6000
Authorized Official
- Name
- DR. WOO SUP KIM, M.D
- Title
- D.R
- Phone
- (718) 845-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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