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Individual

DONALD D KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1768 STEWART AVE, NEW HYDE PARK, NY 11040-1827
(516) 352-8527
Mailing address
1768 STEWART AVE, NEW HYDE PARK, NY 11040-1827
(516) 352-8527

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
031252
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031252
NY
Enumeration date
02/26/2011
Last updated
02/26/2011
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