Individual
DIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-0452
Mailing address
3624 165TH ST, FLUSHING, NY 11358-2006
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
062945
NY
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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