Individual
DR. GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
82-68 164TH ST, SUITE P113, JAMAICA, NY 11432-1121
(718) 883-4500
Mailing address
82-68 164TH ST, SUITE P113, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188516
NY
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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