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Individual
DR. MYEONG JIN KIM
Active
Individual
DR. MYEONG JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021616
NY
103TC0700X
Clinical Psychologist
Primary
021616
NY
Other
Enumeration date
05/19/2015
Last updated
09/15/2020
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