Individual
SUYEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
501 5TH AVE, NEW YORK, NY 10017-6107
(212) 697-1802
Mailing address
501 5TH AVE, NEW YORK, NY 10017-6107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F311602
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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