Individual
ALICE Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(516) 684-4774
Mailing address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
202475
NY
Other
Enumeration date
09/01/2006
Last updated
06/28/2023
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