Individual
INYOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HAMMOND RD, EAST NORTHPORT, NY 11731-4810
(631) 747-0577
Mailing address
30 HAMMOND RD, EAST NORTHPORT, NY 11731-4810
(631) 747-0577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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