Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 284446 | NY |
Y | 2084N0400X | Neurologist | 61331 | CT |
NPI | 1023374790 |
---|---|
Provider Name | Christine Y. Kim |
First Address | New York, NY 10032-3726 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2012 |
Last Update Date | 26/07/2018 |