Search › New York › 363LA2100X
Taeseong Kim
NPI 1013518851 · on the registry since 2020
Practice
- Address
- 259 1st St # Er
Mineola, NY 11501 - Phone
- (516) 663-2201
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York