Provider Demographics
NPI:1023404019
Name:KIM, ANNIE JUHAE (MD)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:JUHAE
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 NORTHSIDE PIERS APT 22H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3187
Mailing Address - Country:US
Mailing Address - Phone:646-798-8212
Mailing Address - Fax:212-904-0980
Practice Address - Street 1:877 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0341
Practice Address - Country:US
Practice Address - Phone:646-798-8212
Practice Address - Fax:212-904-0980
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2025-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY299052207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology