Individual
MS. JI YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
979 CROSS BRONX EXPY, BRONX, NY 10460-4885
(646) 579-7430
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F337461-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404184-1
NY
Other
Enumeration date
07/16/2012
Last updated
09/20/2024
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