TAESEONG KIM

Nurse Practitioner - Acute Care

Active Individual
NPI: 1013518851

Practice Address

259 1ST ST # ER
Mineola, NY 11501

Phone: (516) 663-2201

Specialties

Specialty Code Primary License
Nurse Practitioner - Acute Care 363LA2100X Yes 432762 (NY)
Nurse Practitioner - Family 363LF0000X No 346753 (NY)

Frequently Asked Questions

NPI 1013518851 is the National Provider Identifier for TAESEONG KIM, a Nurse Practitioner - Acute Care provider located in Mineola, NY. This NPI was enumerated on November 6, 2020.
TAESEONG KIM practices at 259 1ST ST # ER, Mineola, NY 11501.

Quick Facts

NPI
1013518851
Type
Individual
Enumerated
Nov 6, 2020
Last Updated
Oct 23, 2023

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