Kim, Jiyon

Kim, Jiyon is an individual health care provider with primary practice located at 1991 Marcus Ave Suite 104, New Hyde Park NY 11042-2057. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kim, Jiyon can be contacted via phone (516) 358-1808.

Contact Information

Primary practice address
1991 Marcus Ave Suite 104 New Hyde Park NY 11042-2057
Phone: (516) 358-1808
Fax: (646) 754-9854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021316 New York

Profile Details

NPI number 1104101591
LBN Legal business name Kim, Jiyon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Jan 24th, 2017 - about 7 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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