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Sung Jo Kim, MD
Nephrology Physician in East Patchogue, New York
NPI 1477538908

Sung Jo Kim is a Nephrology Physician based in East Patchogue, NY and is specialized in Nephrology. Sung Jo Kim practices in East Patchogue, NY and has the professional credentials of MD. The NPI Number for Sung Jo Kim is 1477538908 and holds a License No. 121585 (New York).

The current practice location address for Sung Jo Kim is 260 Patchogue Yaphank Rd, East Patchogue, NY and can be reached out via phone at 631-654-8755 and via fax at 631-654-8709.

Location: 260 Patchogue Yaphank Rd, East Patchogue, NY, 11772-4886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477538908
Provider Name
Sung Jo Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Patchogue Yaphank Rd, East Patchogue, NY, 11772-4886
Phone Number
631-654-8755
Fax Number
631-654-8709
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W38231 01 MEDICARE GROUP NUMBER
00228217 05 NY
institution
Provider Business Practice Location Address Details
Address
260 Patchogue Yaphank Rd
City
East Patchogue
State
New York
Zip
11772-4886
Phone Number
631-654-8755
Fax Number
631-654-8709
person
Provider Business Mailing Address Details
Address
260 Patchogue Yaphank Rd
City
East Patchogue
State
New York
Zip
11772-4886
Phone Number
631-654-8755
Fax Number
631-654-8709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
121585 (New York)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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