Individual provider · Type 1 NPI

Sun Ja Kim, NP

Primary Care Nurse Practitioner · Elmhurst, NY

NPI number 1760563753 Active

Practice location

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Fax (718) 334-3432

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF301430 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1760563753

Sun Ja Kim, NP's National Provider Identifier is 1760563753, issued on Oct 18, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Elmhurst, NY. The record was last updated on Apr 13, 2016.