Individual
JAMIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 EAST 98TH STREET, 14TH FL, NEW YORK, NY 10029-6574
(212) 241-4585
(212) 987-9310
Mailing address
1 GUSTAVE L LEVY PL., BOX 1263, NEW YORK, NY 10029-6574
(212) 241-4585
(212) 987-9310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010037
NY
363AS0400X
Surgical Physician Assistant
Primary
010037
NY
Other
Enumeration date
02/23/2006
Last updated
09/22/2011
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