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Individual

DOOYOUNG KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
61-43 186TH STREET, SUITE #408, FRESH MEADOWS, NY 11365
(646) 725-4995
(646) 558-7797
Mailing address
20312 35TH AVE FL 1, BAYSIDE, NY 11361-1110
(646) 725-4995
(646) 558-7797

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B02955
NY

Other

Enumeration date
10/26/2016
Last updated
11/08/2016
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