Individual
BOO KYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 46TH AVE, LONG ISLAND CITY, NY 11101-5245
(212) 385-3700
Mailing address
1027 46TH AVE, LONG ISLAND CITY, NY 11101-5245
(212) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030663
NY
363A00000X
Physician Assistant
085.008925
IL
Other
Enumeration date
04/13/2022
Last updated
01/12/2024
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