Individual
DANIEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 CYPRESS LOOP, STATEN ISLAND, NY 10309-1676
(347) 589-1738
Mailing address
59 CYPRESS LOOP, STATEN ISLAND, NY 10309-1676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014720
NY
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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