DAESONG KIM

NORTHPORT, NY
NPI1447330998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  129350)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. DAESONG KIM md
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
Mailing Address
Dr. DAESONG KIM md
12 MOUNTAIN LAUREL LN
KINGS PARK, NY 11754-1017
Phone number: 631-269-9644
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