Individual
NICOLA AMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 531-9829
Mailing address
530 E 74TH ST, NEW YORK, NY 10021-3459
(646) 608-2393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
311389
NY
363LA2200X
Adult Health Nurse Practitioner
311389
NY
Other
Enumeration date
08/21/2023
Last updated
08/14/2024
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