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

Dr. Chulsoon Kim, MD

Individual provider General Practice Physician · NPI 1508904210

Dr. Chulsoon Kim, MD is a General Practice Physician in Jackson Heights, New York. Practices as a sole proprietor. Licensed in North Carolina and New York.

Licensed in
NC, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3725 75th St
Jackson Heights, NY 11372-6422
Phone: (718) 507-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 117576-1 (NC)
Surgery Physician Taxonomy 208600000X · Licence 117576-1 (NY)

Record details

NPI number1508904210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address3725 75th St, Jackson Heights, NY 11372-6422

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