Individual
MS. HAKSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-0502
(631) 444-0187
Mailing address
101 NICOLLS RD, HSC, LEVEL 16, RM 80, STONY BROOK, NY 11794-8166
(631) 444-1617
(631) 546-7004
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309261
NY
Other
Enumeration date
08/07/2019
Last updated
01/23/2026
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