Dr Edward Woochang Kim, MD, MPH is a
Student In An Organized Health Care Education/training Program physician based in Mineola, New York. Dr Edward Woochang Kim is licensed to practice in * (Not Available) (license number ) and his current practice location is 259 1st St, Mineola, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 663-0333.
NPI number for Dr Edward Woochang Kim is 1174266126 and his current mailing address is 99 Wall St # 4009, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174266126.
Physician's Profile
| Full Name | Dr Edward Woochang Kim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 259 1st St, Mineola, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174266126
- Provider Enumeration Date: 04/18/2022
- Last Update Date: 04/18/2025
Medical Identifiers
Medical identifiers for Dr Edward Woochang Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174266126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | L.6100R (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Woochang Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edward Woochang Kim, MD, MPH
99 Wall St # 4009,
New York, NY 10005-4301
Ph: (917) 728-0666 | Dr Edward Woochang Kim, MD, MPH
259 1st St,
Mineola, NY 11501-3957
Ph: (516) 663-0333 |
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