Individual provider · Type 1 NPI
Youngyun Kim
Family Nurse Practitioner · Bronx, NY
NPI number
1124424221
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 565420 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 338299 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124424221
Youngyun Kim's National Provider Identifier is 1124424221, issued on Nov 17, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Nov 17, 2014.