| Jeffrey Kim LLC | |
|
400 Midway Park Dr Middletown NY 10940-2656 | |
| (845) 344-4336 | |
| Not Available |
| Full Name | Jeffrey Kim LLC |
|---|---|
| Speciality | Dentist |
| Location | 400 Midway Park Dr, Middletown, New York |
| Authorized Official Name and Position | Jeffrey Kim (OWNER) |
| Authorized Official Contact | 8453444336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Kim LLC 400 Midway Park Dr Middletown NY 10940-2656 Ph: (845) 344-4336 | Jeffrey Kim LLC 400 Midway Park Dr Middletown NY 10940-2656 Ph: (845) 344-4336 |
| NPI Number | 1992939441 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992939441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044694 (New York) | Primary |
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