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NPI Code Detail

MEDICARE: EUNICE KIM

MEDICARE:   EUNICE  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
1104100000XSocial Worker089810NY

General Provider Information

NPI Number : 1114317377
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUNICE KIM
Provider Business Mailing Address
First Line : 230 WEST 17TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 WEST 17TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10011
Country : US
Telephone Number : 212-523-9022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/28/2015

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Directions to “ EUNICE KIM ” Practice Location

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