Individual
ANNIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2384 BROADWAY, NEW YORK, NY 10024-1703
(212) 724-0850
Mailing address
315 W 33RD ST APT 11B, NEW YORK, NY 10001-2772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009678
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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