Individual
JIMMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8428
(718) 831-2600
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016552
NY
Other
Enumeration date
03/31/2007
Last updated
11/23/2009
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