Individual provider · Type 1 NPI
Soyon Kim
Adult Health Nurse Practitioner · New Hyde Park, NY
NPI number
1407369788
Active
Practice location
1991 Marcus Ave Ste M201
New Hyde Park, NY 11042-3000
Mailing address
40 Oakwood St
Greenlawn, NY 11740-1422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308382 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407369788
Soyon Kim's National Provider Identifier is 1407369788, issued on Nov 9, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 9, 2017.