Individual
MI SUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
525 E 68TH ST, CARDIAC CATH LAB F439, NEW YORK, NY 10021-4870
(212) 746-4644
Mailing address
1407 FRANKLIN AVE, MAMARONECK, NY 10543-2022
(914) 777-0731
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304467
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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