Individual
DAESEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E 56TH ST RM 330, NEW YORK, NY 10022-3682
(347) 535-5354
Mailing address
120 E 56TH ST RM 330, NEW YORK, NY 10022-3682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047997
NY
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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