Individual
IRIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2141 45TH RD, LONG ISLAND CITY, NY 11101-4706
(212) 965-7000
Mailing address
2141 45TH RD, LONG ISLAND CITY, NY 11101-4706
(212) 965-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
432898
NY
363L00000X
Nurse Practitioner
RN2348092
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2348092
MA
Other
Enumeration date
07/14/2022
Last updated
02/25/2026
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