Individual
CHAN MI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3834 PARSONS BLVD # 1D, FLUSHING, NY 11354-5843
(718) 762-1710
Mailing address
3928 217TH ST, BAYSIDE, NY 11361-2326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339292-01
NY
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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