Individual
ELEANORE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
764 PARK AVE, NEW YORK, NY 10021-4152
(212) 585-3161
Mailing address
764 PARK AVE, NEW YORK, NY 10021-4152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
233160
NY
Other
Enumeration date
06/06/2007
Last updated
04/05/2021
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