Individual
GAYOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5041 BROADWAY, 2ND FLOOR, NEW YORK, NY 10034-2249
(646) 869-1601
(646) 690-9992
Mailing address
625 E FORDHAM RD, BRONX, NY 10458-5049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344585
NY
Other
Enumeration date
12/18/2019
Last updated
09/27/2024
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