Individual
LIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
115 CHAMBERS ST, NEW YORK, NY 10007-1001
(212) 766-4452
Mailing address
115 CHAMBERS ST, NEW YORK, NY 10007-1001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006978-1
NY
Other
Enumeration date
10/03/2006
Last updated
04/06/2016
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