| Doctor Name: | SUNGEUN KIM |
| NPI Number: | 1366615742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 40QA01165400 |
| Business Practice Address: | 535 Grand Ave 2nd Floor Englewood, NJ - 076314934 |
| Business Phone Number: | 2015411111 |
| Business Fax Number: | 2015410777 |
| Mailing Address: | 889 Allwood Rd, CLIFTON |
| State: | NJ |
| Postal Code: | 070121933 |
| Phone Number: | 9737786800 |
| Fax Number: | 9736533027 |
| NPI Enumeration Date: | 04/08/2008 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01165400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |