SearchNew York363LF0000X

Miok Im

NPI 1265873293 · on the registry since 2013

Practice

Address
4332 22nd St Ste 203
Long Island City, NY 11101
Phone
(551) 395-7952
Fax
(620) 877-9147
Organisation at this address
Wellbeing Clinic Pc
Etat Dame Psychological Services
Mind Lab Psychological Services, Pllc
Mind In Motion Psychological Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-21

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