DIANE KIM

PATCHOGUE, NY
NPI1922723279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
DIANE KIM
101 HOSPITAL RD
PATCHOGUE, NY 11772-4870
Phone number: 631-654-7100
Mailing Address
DIANE KIM
32 ELTONA PL
EAST NORTHPORT, NY 11731-6012
Phone number:
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