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1891172722
MICHAEL MINJUN KIM
RIVERHEAD, NY
NPI
1891172722
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Former Name
MIN JOON KIM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 292970)
Enumeration Date
2015-04-29
Last Update Date
2018-06-19
Business Address
MICHAEL MINJUN KIM D.O.
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Phone number: 631-548-6000
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Mailing Address
MICHAEL MINJUN KIM D.O.
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number: 631-548-6000
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