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General NPI Number Information
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NPI Number | 1720426257
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Entity Type | Organization
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Legal Business Name | KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 20305 32ND AVE
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City | BAYSIDE
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State | NY
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Zip | 11361-1021
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Country | US
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Telephone | 718-939-6137
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Fax | 718-886-6126
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Provider Business Mailing Address
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Address Line | 20305 32ND AVE
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City | BAYSIDE
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State | NY
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Zip | 11361-1021
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Country | US
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Telephone | 718-939-6137
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Fax | 718-886-6126
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MS. MYOUNGMI KIM
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Credential | MPH
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Telephone | 718-939-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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