| Dr Dmitriy Kim, DO | |
|
327 Beach 19th St, Far Rockaway, NY 11691-4423 | |
| (718) 869-7000 | |
| Not Available |
| Full Name | Dr Dmitriy Kim |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 327 Beach 19th St, Far Rockaway, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295116432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 291182 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John's Episcopal Hospital At South Shore | Far rockaway, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St John's Medical Services Pc | 1850314865 | 86 |
| Entity Name | St John's Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dmitriy Kim, DO 407 Beach 20th St, Far Rockaway, NY 11691-3647 Ph: (646) 319-7622 | Dr Dmitriy Kim, DO 327 Beach 19th St, Far Rockaway, NY 11691-4423 Ph: (718) 869-7000 |
Dr. Suresh Kumar Nahata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7000 | |
Dr. Horace Herbsman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-868-7255 Fax: 718-869-8284 | |
Dr. George Manis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-896-7000 | |
Dr. Javier Enrique Andrade, MD Surgery Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7000 | |
Robert Christenson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7256 Fax: 718-869-7834 | |
Sharon Koehler, Surgery Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7000 |