Jung Yeon Kim
Anesthesiology in New York, NY. Individual provider (NPI-1).
NPI number1083175905
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1083175905
- Entity type
- Individual (NPI-1)
- Name
- Jung Yeon Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2019
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 319647 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 212-305-2862
Mailing address
622 W 168th StNew York, NY 10032-3720
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