- Practice location
- 21150 45TH Dr, Bayside, NY 11361-3357
- Phone
- 718-578-5242
- Fax
- —
- Last updated
- November 5, 2013
Eunae Christina Kim is a Psychologist based in Bayside, NY. Eunae Christina Kim practices in Bayside, NY and has the professional credentials of PHD. The NPI Number for Eunae Christina Kim is 1457472730 and holds a License No. 001524 (NY). The current practice location address for Eunae Christina Kim is 21150 45TH Dr, Bayside, NY 11361-3357 and can be reached out via phone at 718-578-5242.
Provider Profile Details
- NPI Number
- 1457472730
- Provider Name
- Eunae Christina Kim
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21150 45TH Dr, Bayside, NY 11361-3357
- Phone Number
- 718-578-5242
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 3, 2007
- Last Update Date
- November 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21150 45TH Dr
Bayside, NY 11361-3357 - City
- Bayside
- State
- New York
- Zip
- 11361-3357
- Phone Number
- 718-578-5242
Provider Business Mailing Address Details
- Address
- 1018 Palisade Ave
Apt # 3
Fort Lee, NJ 07024-6300 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-6300
- Phone Number
- 718-578-5242
License Information
- License Number (1)
- 001524
- License State (1)
- NY
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 017463
- License State (2)
- NY
- Taxonomy (2)
- Psychologist · 103T00000X
- License Number (3)
- 35S100510500
- License State (3)
- NJ
- Taxonomy (3)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Eunae C Kim, PHD?
The NPI number of Dr. Eunae C Kim, PHD is 1457472730. It was assigned on April 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Eunae C Kim, PHD?
Dr. Eunae C Kim, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 001524.
Where does Dr. Eunae C Kim, PHD practice?
The practice location is 21150 45TH Dr, Bayside, NY 11361-3357. The office can be reached at 718-578-5242 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457472730 directly on the NPPES registry website.