Individual provider · Type 1 NPI

Lydia Kim, PA

Physician Assistant · New York, NY

NPI number 1669357919 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

3564 Sunnymead Ct
San Jose, CA 95117-2959

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669357919

Lydia Kim, PA's National Provider Identifier is 1669357919, issued on Aug 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Aug 6, 2025.