SearchNew York122300000X

Jeonghyeon Kim

NPI 1740604107 · on the registry since 2014 · sole proprietor

Practice

Address
215 Squire Hall
3435 Main St
Buffalo, NY 14214
Phone
(716) 829-2862
Fax
(716) 829-2440
Clinicians at this address
7

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-05

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