Individual
HYUN JEONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W 110TH STREET, #7J6, NEW YORK, NY 10025-2186
(347) 725-7360
Mailing address
601 W 110TH ST # 7J6, NEW YORK, NY 10025-2186
(347) 725-7360
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
641494121
NY
252Y00000X
Early Intervention Provider Agency
Primary
641495121
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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