Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Woo Sup Kim M D P C

Organization Primary Care Clinic/Center · NPI 1104198878

Woo Sup Kim M D P C is a Primary Care Clinic/Center in Ozone Park, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

9711 101st Ave
Ozone Park, NY 11416-2523
Phone: (718) 845-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 160493 (NY)

Record details

NPI number1104198878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Woo Sup Kim — D.R · (718) 845-6000
NPI enumeratedJanuary 27, 2012
Last updated in NPPESMarch 2, 2012
Mailing address9711 101st Ave, Ozone Park, NY 11416-2523

Other providers in Ozone Park