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NPI Code Detail

MEDICARE: MILY KIM DAOM

MEDICARE:   MILY  KIM  DAOM
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
1171100000XAcupuncturist006907NY

General Provider Information

NPI Number : 1437731528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILY KIM DAOM
Provider Business Mailing Address
First Line : 325 5TH AVE APT 10D
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5039
Country : US
Telephone Number : 917-916-2189
Fax Number :
Provider Business Practice Location Address
First Line : 325 5TH AVE APT 10D
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5039
Country : US
Telephone Number : 917-916-2189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 05/02/2021

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Directions to “ MILY KIM DAOM” Practice Location

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