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NPI Code Detail

MEDICARE: JULIA KIM

MEDICARE: JULIA KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770440539
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA KIM
Provider Business Mailing Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number : 718-405-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ JULIA KIM ” Practice Location

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