Individual
CRYSTAL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 W 113TH ST, SUITE 1A, NEW YORK, NY 10025-9700
(212) 305-2001
Mailing address
60 W 57TH ST, APT 16F, NEW YORK, NY 10019-3953
(201) 606-3264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401642
NY
Other
Enumeration date
10/17/2013
Last updated
09/20/2016
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