Organization
99 ANTIAGING MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KIM (PRESIDENT)
(718) 745-1888
Entity
Organization
Contact information
Practice address
745 64TH ST, BROOKLYN, NY 11220-4753
(718) 845-1888
Mailing address
745 64TH ST, BROOKLYN, NY 11220-4753
(718) 845-1888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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