Individual
SANGMOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
32 VILLAGE DR, ENDWELL, NY 13760-1062
(607) 757-3100
Mailing address
3105 SARASOTA AVE, VESTAL, NY 13850-3016
(607) 239-7735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020399
NY
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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