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Individual

DR. CHRISTINE MISUN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3929 BROADWAY, NEW YORK, NY 10032-1538
(212) 568-4693
Mailing address
2 SAW MILL RD, NEW CITY, NY 10956-2308

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005225
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01682640
NY
Enumeration date
10/13/2006
Last updated
07/09/2007
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