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1245702554
ELISHABETH KIM
BRONX, NY
NPI
1245702554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023313)
Enumeration Date
2018-12-27
Last Update Date
2021-01-28
Business Address
ELISHABETH KIM
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
ELISHABETH KIM
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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