Individual provider · Type 1 NPI
Susy Anne Kim, RN
General Practice Registered Nurse · Suffern, NY
NPI number
1467336388
Active
Practice location
15 Suffern Pl Ste A
Suffern, NY 10901-5566
Mailing address
800 Red Mills Rd # K-201
Wallkill, NY 12589-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 546054 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1467336388
Susy Anne Kim, RN's National Provider Identifier is 1467336388, issued on Aug 4, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Suffern, NY. The record was last updated on Aug 4, 2025.