Individual
MS. HAESSAL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14425 33RD AVE APT 4L, FLUSHING, NY 11354-3103
(718) 475-0718
Mailing address
14425 33RD AVE APT 4L, FLUSHING, NY 11354-3103
(718) 475-0718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F346546-01
NY
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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