person
Taeseong Kim
Family Nurse Practitioner in Mineola, New York
NPI 1013518851

Taeseong Kim is a Family Nurse Practitioner based in Mineola, NY and is specialized in Family. Taeseong Kim practices in Mineola, NY. The NPI Number for Taeseong Kim is 1013518851 and holds a License No. 432762 (New York).

The current practice location address for Taeseong Kim is 259 1St St # Er, Mineola, NY and can be reached out via phone at 516-663-2201.

Location: 259 1St St # Er, Mineola, NY, 11501-3957
person
Provider Profile Details
NPI Number
1013518851
Provider Name
Taeseong Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
259 1St St # Er, Mineola, NY, 11501-3957
Phone Number
516-663-2201
Fax Number
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
259 1St St # Er
City
State
Zip
11501-3957
Phone Number
516-663-2201
Fax Number
person
Provider Business Mailing Address Details
Address
259 1St St # Er
City
State
Zip
11501-3957
Phone Number
516-663-2201
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
346753 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
432762 (New York)
Definition
Definition to come...
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