Kim, Ji Soo

Kim, Ji Soo is an individual health care provider with primary practice located at 1400 Pelham Pkwy S Peds Ed, Bronx NY 10461-1138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kim, Ji Soo can be contacted via phone (718) 918-5875.

Contact Information

Primary practice address
1400 Pelham Pkwy S Peds Ed Bronx NY 10461-1138
Phone: (718) 918-5875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331768 New York

Profile Details

NPI number 1972665669
LBN Legal business name Kim, Ji Soo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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