Individual
MS. JIYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4010 77TH ST APT N3, ELMHURST, NY 11373-1109
(914) 987-8600
Mailing address
4010 77TH ST APT N3, ELMHURST, NY 11373-1109
(914) 987-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F349901
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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