Individual ProviderDaniel KimStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4198(607) 722-2769PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 32 days ago.Profile DetailsProvider ID1619762259Provider TypeIndividualFull NameKim, DanielCredentialDOGenderMaleSole ProprietorNoEnumeration Date4/14/2025Last Updated4/14/2025Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 722-2769FaxUnlisted FaxMailing LocationMailing Address63 W Hearthstone Dr, Albany, NY 12205-1235PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer