Individual
MS. HYERAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NORTH PORTLAND AVE, BROOKLYN, NY 11205-5317
(718) 260-7500
Mailing address
6349A DOUGLASTON PKWY, DOUGLASTON, NY 11362-1533
(718) 631-0272
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340448
NY
Other
Enumeration date
11/20/2006
Last updated
12/22/2010
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