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Yongsung Kim

NPI 1497253454 · on the registry since 2018 · sole proprietor

Practice

Address
2 Cornwall Ln Apt 2s
Carle Place, NY 11514
Phone
(929) 300-9828

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-24

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