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Victoria Kim
Family Nurse Practitioner in Port Jefferson Station, New York
NPI 1437878295

Victoria Kim is a Family Nurse Practitioner based in Port Jefferson Station, NY and is specialized in Family. Victoria Kim practices in Port Jefferson Station, NY. The NPI Number for Victoria Kim is 1437878295 and holds a License No. 349780 (New York).

The current practice location address for Victoria Kim is 1660 Route 112 Unit C-1, Port Jefferson Station, NY and can be reached out via phone at 631-792-7278.

Location: 1660 Route 112 Unit C-1, Port Jefferson Station, NY, 11776-8057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437878295
Provider Name
Victoria Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
1660 Route 112 Unit C-1, Port Jefferson Station, NY, 11776-8057
Phone Number
631-792-7278
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1660 Route 112 Unit C-1
City
Port Jefferson Station
State
New York
Zip
11776-8057
Phone Number
631-792-7278
Fax Number
person
Provider Business Mailing Address Details
Address
1660 Route 112 Unit C-1
City
Port Jefferson Station
State
New York
Zip
11776-8057
Phone Number
631-792-7278
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
349780 (New York)
Definition
Definition to come...
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