Individual
ANNETTE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
(347) 329-8677
Mailing address
8268 164TH ST RM 315, JAMAICA, NY 11432-1121
(347) 329-8677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
111097
NY
Other
Enumeration date
06/17/2020
Last updated
10/24/2022
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