Individual provider · Type 1 NPI

Iris Kim, NP

Nurse Practitioner · Long Island City, NY

NPI number 1760116719 Active

Practice location

2141 45th Rd
Long Island City, NY 11101-4706

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X432898 (NY)
Nurse Practitioner 363L00000XRN2348092 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1760116719

Iris Kim, NP's National Provider Identifier is 1760116719, issued on Jul 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Island City, NY. The record was last updated on Feb 25, 2026.