Provider Demographics
NPI:1306925722
Name:KIM, ROBERT J (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:KIM
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:520 E 70TH ST
Mailing Address - Street 2:STARR-437A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:646-962-5558
Mailing Address - Fax:212-746-2685
Practice Address - Street 1:520 E 70TH ST
Practice Address - Street 2:STARR-437A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9800
Practice Address - Country:US
Practice Address - Phone:646-962-5558
Practice Address - Fax:212-746-2685
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY232227207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease