Individual
DR. MINA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
189 MONTAGUE ST, BROOKLYN, NY 11201-3610
(718) 855-2333
(718) 855-1227
Mailing address
6343 DOUGLASTON PKWY # A, DOUGLASTON, NY 11362-1533
(917) 880-2763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV00679
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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