Individual
MISS CONSTANCE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3096 51ST ST, WOODSIDE, NY 11377-1457
(718) 204-1469
(718) 545-1726
Mailing address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(516) 594-5961
(516) 256-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025069
NY
Other
Enumeration date
06/23/2020
Last updated
08/12/2020
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