MISS Constance H Kim, PA-C

NPI #1811513005 in Woodside, New York

Provider Information

NPI Number: 1811513005
Entity Type: Individual
Name: MISS Constance H Kim, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 23, 2020
Last Updated: Aug 12, 2020

Practice Location

Address: 3096 51ST ST
City: Woodside
State: New York
ZIP Code: 11377-1457
Phone: (718) 204-1469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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