Individual
HYESUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1662 CENTRAL AVE, COLONIE, NY 12205-4059
(518) 240-1456
Mailing address
1662 CENTRAL AVE, COLONIE, NY 12205-4059
(518) 240-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F350030
NY
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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