Organization
FUNCTIONAL NURSE PRACTITIONER IN FAMILY HEALTH
Active
Organization
FUNCTIONAL NURSE PRACTITIONER IN FAMILY HEALTH
Active
Other names
Revive wellness
Organization subpart
No
Provider details
NPI number
Authorized official
HYUNCHU KIM GOLD NP (STAFF NURSE PRACTITIONER)
(917) 309-0729
Entity
Organization
Contact information
Practice address
2 W 32ND ST STE 602, NEW YORK, NY 10001-0602
(917) 309-0729
Mailing address
2 W 32ND ST STE 602, NEW YORK, NY 10001-0602
(917) 309-0729
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/25/2025
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