Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAESONG KIM, MD
Active Sole ProprietorDR. DAESONG KIM, MD is a Physical Medicine & Rehabilitation healthcare provider located in NORTHPORT, New York. NPI 1447330998 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · NORTHPORT, NY
Registration Details
- NPI Number
- 1447330998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.795924322369 yrs)
- Last Updated
- Jul 8, 2007
- License
-
129350 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
79 MIDDLEVILLE RDNORTHPORT, NY, 117682200Browse NY providers · Browse ZIP 11768
- Phone
- 6312614400
- Fax
- 6312666022
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| DR. SERGIO R LOMBARDO | D.O | 1366505281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.