Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 144828 | NY |
NPI | 1003835919 |
---|---|
Provider Name | Hooja C Kim |
First Address | Castle Point, NY 12511-0644 |
Second Address | Castle Point, NY 12511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |