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1750541215
IRENE E KIM
BAYSIDE, NY
NPI
1750541215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400787)
Enumeration Date
2008-06-09
Last Update Date
2022-07-21
Business Address
Dr. IRENE E KIM NP
22215 NORTHERN BLVD
BAYSIDE, NY 11361-3678
Phone number: 718-352-6093
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Mailing Address
Dr. IRENE E KIM NP
222-15 NORTHERN BLVD C1
BAYSIDE, NY 11361-2201
Phone number: 718-352-6093
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