Individual
MS. NANCY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PT
Contact information
Practice address
117 SHOREWARD DR, GREAT NECK, NY 11021-2514
(516) 472-0121
Mailing address
117 SHOREWARD DR, GREAT NECK, NY 11021-2514
(516) 472-0121
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015166-1
NY
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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