Individual
JOSEPH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
30 BROAD ST, LEVEL A, NEW YORK, NY 10004-2304
(646) 790-7454
(212) 379-2076
Mailing address
307 5TH AVE FL 6, NEW YORK, NY 10016-6575
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
042380
NY
2251X0800X
Orthopedic Physical Therapist
Primary
042380
NY
Other
Enumeration date
12/02/2017
Last updated
06/14/2019
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