JI SOO KIM

BRONX, NY
NPI1972665669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  331768)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- JI SOO KIM
1400 PELHAM PKWY S PEDS ED
BRONX, NY 10461-1138
Phone number: 718-918-5875
Mailing Address
-- JI SOO KIM
1764 STEWART AVE
NEW HYDE PARK, NY 11040-1827
Phone number: