Individual
DR. BOKKYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PHD
Contact information
Practice address
4000 MEDICAL CENTER DR, STE 108, FAYETTEVILLE, NY 13066
(213) 400-3279
Mailing address
7282 DABNEY LN, FAYETTEVILLE, NY 13066-1823
(213) 400-3279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040603
NY
2251N0400X
Neurology Physical Therapist
040603
NY
Other
Enumeration date
05/16/2025
Last updated
11/17/2025
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