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Individual

MRS. KYUNGAE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC (PSYCHATRIC

Contact information

Practice address
100 WOODS AVE, WESTCHESTER MEDICAL CENTER-BEHAVIOR HEALTH CENTER, VALHALLA, NY 10595
(914) 493-7000
(914) 493-1015
Mailing address
100 WOODS AVE VALHALLA CAMPUS, WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595
(914) 493-7000
(914) 493-2978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
459153
NY
163W00000X
Registered Nurse
459153-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401414-1/7534679
NY

Other

Enumeration date
02/12/2010
Last updated
05/08/2015
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