MISOOK KIM

PORT JEFFERSON, NY
NPI1205905056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009693)
Enumeration Date2006-11-07
Last Update Date2015-10-22
Business Address
-- MISOOK KIM
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Mailing Address
-- MISOOK KIM
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320