Individual provider · Type 1 NPI

Miok Im

Family Nurse Practitioner · Long Island City, NY

NPI number 1265873293 Active

Practice location

4332 22nd St Ste 203
Long Island City, NY 11101-5077

Fax (620) 877-9147

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X338174 (NY)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X405461 (NY)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

Other family nurse practitioner providers in Long Island City

See all in Long Island City →

About NPI 1265873293

Miok Im's National Provider Identifier is 1265873293, issued on Jul 6, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Island City, NY. The record was last updated on Jan 21, 2026.