Individual
ANNA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 WATERS EDGE DR, BAYSIDE, NY 11360-1262
(917) 226-7999
Mailing address
1434 WATERS EDGE DR, BAYSIDE, NY 11360-1262
(917) 226-7999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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