Individual
JAMIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-4429
Mailing address
10 HICKORY RD, NEW HYDE PARK, NY 11040-2326
(516) 301-8933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059654
NY
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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