Individual
DANA S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY, B.A.
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Mailing address
55 W AMES CT STE 100, PLAINVIEW, NY 11803-2304
(516) 390-6526
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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