Individual
STEPHEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
247 3RD AVE STE LL2, NEW YORK, NY 10010-7453
(212) 598-5913
(212) 598-5914
Mailing address
2721 44TH DR APT 2303, LONG ISLAND CITY, NY 11101-3030
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
022131
NY
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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