Individual
JAE HOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10005 ROOSEVELT AVE, SUITE 202, CORONA, NY 11368-4880
(914) 439-2157
Mailing address
14075 ASH AVE, #3F, FLUSHING, NY 11355-2700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012685
NY
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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