Individual provider · Type 1 NPI

Soonho C. Kim

Student in an Organized Health Care Education/Training Program · Bayside, NY

NPI number 1891502902 Active

Practice location

20305 32nd Ave
Bayside, NY 11361-1021

Call (929) 394-9585 Map

Other practice locations

  • 410 Broad Ave, Palisades Park, NJ 07650-1686 · (201) 429-2866

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891502902

Soonho C. Kim's National Provider Identifier is 1891502902, issued on Dec 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bayside, NY. The record was last updated on Dec 18, 2024.