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Autumn Kim

NPI 1215721030 · on the registry since 2025 · sole proprietor

Practice

Address
10 E 102nd St
New York, NY 10029
Phone
(212) 241-6500
Clinicians at this address
113

Registry record

Primary taxonomy
207QA0505X
207QA0505X
Also registered as
207N00000X
207RP1001X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-07

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