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Provider Information for 1750582086


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Dr. SUNG HO KIM PhD, L.P.


Other Names:  
Other Name: 
Dr. BENEDICT SUNG HO KIM PhD, L.P.

Sex: Male

NPI: 1750582086
Last Updated: 2010-05-20
Certification Date:

Details

NameValue
NPI1750582086
Enumeration Date2007-05-31
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5E 44TH STREET, #5B
NEW YORK, NY 10017
United States

Phone: 917-270-9369 | Fax:
 
Primary Practice Address 5 E 44TH ST
#5B
NEW YORK, NY 10017-3613
United States

Phone: 917-270-9369 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 102L00000X - Psychoanalyst NY245