National Provider Identifier
Daniel Wonsuk Kim, M.D.
Daniel Wonsuk Kim, M.D. is listed in the NPPES registry with a primary specialty of Surgical Oncology Physician in Rochester, NY and a listed phone number of (585) 487-1700.
Profile Overview
- NPI
- 1376078014
- Provider Type
- Individual
- Primary Specialty
- Surgical Oncology Physician
- Enumeration Date
- May 01, 2017
- Last Updated
- May 06, 2025
Practice Location
- 125 Red Creek Dr Ste 211
- Rochester, NY 14623-4262
Phone: (585) 487-1700
Mailing Address
- 601 Elmwood Ave Box Surg
- Rochester, NY 14642-0001
Specialties
- Surgical Oncology Physician (2086X0206X)
- Student in an Organized Health Care Education/Training Program (390200000X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1376078014
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Daniel
- Middle Name
- Wonsuk
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 125 Red Creek Dr Ste 211
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4262
- Practice Country
- US
- Practice Phone
- (585) 487-1700
- Enumeration Date
- May 01, 2017
- Last Updated
- May 06, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Oncology Physician (2086X0206X), Student in an Organized Health Care Education/Training Program (390200000X), Surgery Physician (208600000X)