Jane Kim
Speech-Language Pathologist, in Whitestone, NY. Individual provider (NPI-1).
NPI number1174053987
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1174053987
- Entity type
- Individual (NPI-1)
- Name
- Jane Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2017
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 027917 | NY | Yes |
Practice location
15050 14th RdWhitestone, NY 11357-2609
Phone 718-767-0091
Mailing address
8702 248th StBellerose, NY 11426-2008
Phone 917-502-7121
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All 260 Speech-Language Pathologist providers in Whitestone · All 1,177 providers in Whitestone
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