TAESOO KIM

BROOKLYN, NY
NPI1538428388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  015595)
Enumeration Date2012-05-15
Last Update Date2015-02-16
Business Address
Mr. TAESOO KIM
1396 MYRTLE AVE
BROOKLYN, NY 11237-4513
Phone number: 718-878-4314
Mailing Address
Mr. TAESOO KIM
3279 30TH ST APT 3G
ASTORIA, NY 11106-2971
Phone number: 732-570-7757
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