Individual provider · Type 1 NPI

Daniel Kim

Student in an Organized Health Care Education/Training Program · Elmhurst, NY

NPI number 1043905771 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Mailing address

448 Opal Ct
Altamonte Springs, FL 32714-5403

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XOS23161 (FL)
Diagnostic Radiology Physician 2085R0202X114466 (GA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X02009285A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043905771

Daniel Kim's National Provider Identifier is 1043905771, issued on Apr 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmhurst, NY. The record was last updated on Sep 19, 2026.