Individual
JASON JEHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 E 61ST ST, PENTHOUSE FLOOR SUITE 13-16, NEW YORK, NY 10021-8722
(212) 821-0712
Mailing address
525 E 68TH ST, BOX 140, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
212638
NY
Other
Enumeration date
12/06/2006
Last updated
12/19/2011
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