Individual
GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 KINGS HWY # 202, BROOKLYN, NY 11234-2644
(718) 500-3338
Mailing address
608 PRESCOTT PL # 202, VALLEY STREAM, NY 11581-3034
(718) 500-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007456-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2022
Last updated
06/25/2025
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