Individual
EMILY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 78TH AVE, GLENDALE, NY 11385-8228
(718) 326-8261
Mailing address
7401 78TH AVE, GLENDALE, NY 11385-8228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027254
NY
Other
Enumeration date
01/29/2025
Last updated
10/17/2025
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