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

Pamela Sue Kim

Individual provider Surgery Physician · NPI 1669799698

Pamela Sue Kim is a General Surgery in Stony Brook, New York. Qualified in 2010, 16 years ago. Practices with Center for Vein Restoration MA LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Medicine 101 Nicolls Road Hsc T19-090
Stony Brook, NY 11794-0001
Phone: (631) 444-2040
Fax: (631) 444-6031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 280575 (NY)

Record details

NPI number1669799698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2010
Last updated in NPPESSeptember 1, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Center For Vein Restoration Ma Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook