Individual
MS. FLORA YISEUL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7771
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95006254
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
430930
NY
Other
Enumeration date
08/30/2015
Last updated
07/12/2023
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