Individual
MICHELLE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W 125TH ST FL 11, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Mailing address
55 W 125TH ST FL 11, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00221983
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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