National Provider Identifier
Mark Y Kim, D.O.
Mark Y Kim, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Orchard Park, NY and a listed phone number of (716) 656-4804.
Profile Overview
- NPI
- 1487633228
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- January 11, 2006
- Last Updated
- November 16, 2020
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 656-4804
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1487633228
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Mark
- Middle Name
- Y
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 656-4804
- Practice Fax
- (716) 250-5933
- Enumeration Date
- January 11, 2006
- Last Updated
- November 16, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 0412847 (NY, Iha), 00027258001 (NY, Univera), 02680335 (NY), 000528214001 (NY, Health Now), 161000580 (NM, Empire Plan)