Dongsoo Soo Kim


Address: 102 Valentine St, Mount Vernon, NY 10550-2504
Phone: 9146652267

Dongsoo Soo Kim (NPI# 1881622504, PAC ID# 7012912017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1881622504
PAC ID by PECOS 7012912017
Professional Enrollment ID I20060926000330
Full Name Dongsoo Soo Kim
Address 102 Valentine St
Mount Vernon
NY 10550-2504
Phone Number 9146652267
Gender M
Credential MD
Graduation Year 1978
Primary Specialty INTERNAL MEDICINE
Secondary Specialties NEPHROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330086 MONTEFIORE MOUNT VERNON HOSPITAL

Other Locations

Address Phone Organization
102 Valentine St, Mount Vernon, NY 10550-2504 9146652267

Organization Information

Office Location

Street Address 102 VALENTINE ST
City MOUNT VERNON
State NY
Zip 10550-2504

Physicians in the same location

Name Specialty Organization Address
Chi H Chang Physical Medicine and Rehabilitation 102 Valentine St, Mount Vernon, NY 10550-2504

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Bijou M Dennis-nfor Podiatry 11 W Prospect Ave, Fl 3, Mount Vernon, NY 10550-2017
Camille Melika Banks Lee Clinical Social Worker The Guidance Center of Westchester, Inc 9 W Prospect Ave, Mount Vernon, NY 10550-2018
Caryl D Blackwood Clinical Social Worker The Guidance Center of Westchester, Inc 9 W Prospect Ave, Mount Vernon, NY 10550-2018
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Competitor

Search similar physicians

City MOUNT VERNON
Zip Code 10550
Specialty INTERNAL MEDICINE
City + Specialty MOUNT VERNON + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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