Search › New York › 363LF0000X
Victoria Kim
NPI 1437878295 · on the registry since 2022
Practice
- Address
- 1660 Route 112 Unit C-1
Port Jefferson Station, NY 11776 - Phone
- (631) 792-7278
- Organisation at this address
- Rise Therapy Lcsw Pc
Shore To Shore Psychiatry P.C.
Away From Home Adult Day Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-13
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