Individual
LYDIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
216 WILLIS AVE. SUITE 001, ROSLYN HEIGHTS, NY 11577-2125
(917) 747-4601
Mailing address
5311 FRANCIS LEWIS BLVD, OAKLAND GARDENS, NY 11364-1632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007035-01
NY
229N00000X
Anaplastologist
007035-01
NY
Other
Enumeration date
04/18/2022
Last updated
06/25/2025
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