Individual
AHHYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20718 MELISSA CT FL 1, BAYSIDE, NY 11360-1163
(646) 400-3009
Mailing address
20718 MELISSA CT FL 1, BAYSIDE, NY 11360-1163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3212266
NY
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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