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Individual

BO RA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, MSN, RN

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(737) 990-7310
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(737) 990-7310

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
390200000X
NY

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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