Individual
ANA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 241-0034
Mailing address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 241-0034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012664
NY
Other
Enumeration date
08/05/2008
Last updated
03/24/2020
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