Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01600300 | NJ |
N | 2251X0800X | Physical Therapist - Orthopedic | 029758-1 | NY |
NPI | 1023297298 |
---|---|
Provider Name | Helen M Kim |
First Address | Islandia, NY 11749-5258 |
Second Address | Clifton, NJ 07013-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 11/12/2020 |