Individual
RENITA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 30TH AVE FL 4, ASTORIA, NY 11102-2448
(718) 808-7777
Mailing address
75 FRANCIS ST, ASB1-3-608A, BOSTON, MA 02115-6110
(617) 732-7801
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
304021
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
05/18/2022
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