Individual
MS. JIYON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1991 MARCUS AVE, SUITE 104, NEW HYDE PARK, NY 11042-2057
(516) 358-1808
(646) 754-9854
Mailing address
1991 MARCUS AVE, SUITE 104, NEW HYDE PARK, NY 11042-2057
(516) 358-1808
(646) 754-9854
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021316
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2011
Last updated
01/24/2017
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