Individual
SUN M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 1ST AVE, ORANGEBURG, NY 10962-1106
(845) 680-4056
(845) 680-8910
Mailing address
37 PALISADES CT, POMONA, NY 10970-2705
(845) 216-1791
(845) 680-8910
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
430006
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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