Innoba, LLC
NPI #1639561350 in Bayside Hills, New York
Provider Information
- NPI Number
- 1639561350
- Entity Type
- Organization
- Organization Name
- Innoba, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 4, 2015
- Last Updated
- Mar 4, 2015
Practice Location
- Address
- 5143 BELL BLVD
- City
- Bayside Hills
- State
- New York
- ZIP Code
- 11364-1225
- Phone
- (718) 640-6550
Authorized Official
- Name
- DR. MIKYEONG KIM, LBA
- Title
- DIRECTOR
- Phone
- (718) 640-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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