Individual
JAE MIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 2ND AVE RM 806, NEW YORK, NY 10017-9223
(703) 500-8763
Mailing address
440 SYLVAN AVE STE 135, ENGLEWOOD CLIFFS, NJ 07632-2727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012718-1
NY
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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