Individual
AMANDA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 W 37TH ST, NEW YORK, NY 10018-5705
(212) 730-4440
Mailing address
241 W 37TH ST, NEW YORK, NY 10018-5705
(212) 730-4440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
065028
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
02/20/2026
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