Individual
DA SOM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-1000
(212) 562-1665
Mailing address
2415 CHURCH AVE APT 709, BROOKLYN, NY 11226-8444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051303155
IL
1835P2201X
Ambulatory Care Pharmacist
Primary
067805
NY
Other
Enumeration date
07/21/2020
Last updated
09/20/2023
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