Kim, Eunae Christina

Kim, Eunae Christina is an sole proprietor health care provider with primary practice located at 21150 45Th Dr , Bayside NY 11361-3357. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kim, Eunae Christina can be contacted via phone (718) 578-5242.

Contact Information

Primary practice address
21150 45Th Dr Bayside NY 11361-3357
Phone: (718) 578-5242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001524 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 017463 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35S100510500 New Jersey

Profile Details

NPI number 1457472730
LBN Legal business name Kim, Eunae Christina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Nov 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457472730 NPPES
New York Other 017463 PSYCHOLOGIST
New York Other 001524 PSYCHOLOGIST
New York Other 35S100510500 PSYCHOLOGIST

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