Individual
HAYLEY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MARKET ST STE 201, MONTVALE, NJ 07645-1909
(201) 503-7677
Mailing address
200 MARKET ST STE 201, MONTVALE, NJ 07645-1909
(201) 503-7677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352398
NY
Other
Enumeration date
07/07/2023
Last updated
07/18/2024
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