Individual
MR. HARRY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 WIMBLEDON DR, ROSLYN, NY 11576-3097
(516) 365-8075
Mailing address
63 WIMBLEDON DR, ROSLYN, NY 11576-3097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016971
NY
Other
Enumeration date
08/07/2012
Last updated
10/25/2012
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