Search › New York › 207RR0500X
Brandon Kim
NPI 1992267173 · on the registry since 2019 · sole proprietor
Practice
- Address
- 480 Forest Ave
Locust Valley, NY 11560 - Phone
- (631) 271-1640
- Organisation at this address
- The Medical Station Of North Shore Pc
The Medical Station Of Long Island PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York