Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245661719 Individual Practitioner Female Practitioner

Sue Kim

Specialist • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Sue Kim is a registered healthcare professional specializing in Specialist in Flushing, NY. Practice services are available at 3636 172ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3636 172nd St
#86

Flushing, NY 113582397

Telephone 3475330369

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.3 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
217 Specialists

Practicing in Flushing, NY (23296 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 790360

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 3636 172ND ST, #86, FLUSHING, NY 113582397 (Tel: 3475330369)

📍
Updated Business Mailing Address October 23, 2014

Registered at 3636 172ND ST, #86, FLUSHING, NY 113582397 (Tel: 3475330369)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as SUE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Specialist (License #790360 in NY)

🟢
Initial NPI Registration & Enumeration December 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245661719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2013
Last Update: October 23, 2014
Sole Proprietor: No

Mailing Address

3636 172nd St, #86

Flushing, NY 113582397

Phone: 3475330369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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