Individual
RACHEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
Mailing address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009824
NY
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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