Individual
HYUNGTAE YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
51 65TH ST, WEST NEW YORK, NJ 07093-4103
(646) 236-0979
Mailing address
51 65TH ST, WEST NEW YORK, NJ 07093-4103
(646) 236-0979
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
290046
NY
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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