Individual provider · Type 1 NPI
Chulsoon Kim, MD
General Practice Physician · Jackson Heights, NY
NPI number
1508904210
Active
Practice location
3725 75th St
Jackson Heights, NY 11372-6422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 117576-1 (NC) |
| Surgery Physician | 208600000X | 117576-1 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Jackson Heights
About NPI 1508904210
Chulsoon Kim, MD's National Provider Identifier is 1508904210, issued on Feb 2, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jackson Heights, NY. The record was last updated on Sep 11, 2025.