Individual
MELODY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 NORTH CENTRAL PARK AVE, HARTSDALE, NY 10530
(914) 681-9750
(914) 681-9755
Mailing address
220 NORTH CENTRAL PARK AVE, HARTSDALE, NY 10530
(914) 681-9750
(914) 681-9755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
230237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230237-1
LICENSE NUMBER
NY
Enumeration date
05/11/2006
Last updated
11/05/2007
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