Individual
HYE MIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 597-2500
Mailing address
118 LA RUE LN, EAST BRUNSWICK, NJ 08816-5679
(732) 754-0711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00908500
NJ
363L00000X
Nurse Practitioner
Primary
347571
NY
363L00000X
Nurse Practitioner
SP017955
PA
Other
Enumeration date
10/20/2017
Last updated
05/19/2021
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