MRS. MOLLY SUE KIM


Address: 10 E 102nd St, New York, NY 10029-6030
Phone: 2122416756

MRS. MOLLY SUE KIM (NPI# 1003342056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003342056
Entity Type Individual
Full Name MRS. MOLLY SUE KIM
Other Name MISS MOLLY SUE KERN
Credential NP-C
Practice Address 10 E 102nd St
New York
NY 10029-6030
Mailing Address 150 E 42nd St Fl 9
New York
NY 10017-5699
Practice Telephone 2122416756
Practice Fax Number 2124230522
Mailing Telephone 6466058186
Enumeration Date 2017-05-11
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F341740 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Gustave L Levy Pl, New York, NY 100296504 2122416756 2124230522

Office Location

Street Address 10 E 102ND ST
City NEW YORK
State NY
Zip Code 10029-6030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639173065 Sakshi Dua Internal Medicine 10 E 102nd St, New York, NY 10029 2005-06-13
1427610708 Teshmanie Rampersaud Nurse Practitioner 10 E 102nd St, New York, NY 10029 2019-07-08
1780249870 Beena E Jacob Nurse Practitioner 10 E 102nd St, New York, NY 10029-6030 2019-05-05
1659837235 Maria Jovie Pagsuguiron Nurse Practitioner 10 E 102nd St, New York, NY 10029 2019-02-19
1568927697 Chloe Ray Nurse Practitioner 10 E 102nd St, New York, NY 10029-6030 2019-02-03
1285109439 Caitlin Jeanne Burke Registered Nurse 10 E 102nd St, New York, NY 10029 2018-10-03
1922587898 Stacey Mcleer Nurse Practitioner 10 E 102nd St, New York, NY 10029 2018-08-10
1649766494 Heather Lynn Bosco Physician Assistant 10 E 102nd St, New York, NY 10029-6030 2018-07-05
1053829408 Kathryn Ciccolini Nurse Practitioner 10 E 102nd St, New York, NY 10029-6030 2018-01-19
1144737297 Frances Annelies Bell Registered Nurse 10 E 102nd St, New York, NY 10029-6030 2018-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316547029 Erica Marie Mclaughlin Counselor 109 E. 115th Street, New York, NY 10029 2020-10-30
1992305601 Ayan Kumar Student in an Organized Health Care Education/Training Program New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 2020-10-30
1538767306 Noily Noemi Nezbeth Registered Nurse 1 Gustav Levy, New York, NY 10029 2020-10-14
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1225635014 Alice Liang Registered Nurse 35 East 110th St, New York, NY 10029 2020-10-05
1013525724 Avihai Moscovici Student in an Organized Health Care Education/Training Program 1 Gustave L. Levy Pl, New York, New York, NY 10029 2020-07-20
1912523473 Gayathri Sreenivasan Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 2020-06-22
1417572801 Rachana Borkar Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 2020-06-11
1831713197 Dania Isabel Antunez Student in an Organized Health Care Education/Training Program 1901 1 St Avenue, New York, NY 10029 2020-06-02
1972122323 Antoine Beayno Student in an Organized Health Care Education/Training Program The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 2020-04-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134726540 Alison Anne Avallone Nurse Practitioner 425 E 80th St Apt 6d, New York, NY 10075-0613 2020-10-08
1194331199 Katie Ann Felter Nurse Practitioner 144 E 36th St Apt 8b, New York, NY 10016-3517 2020-09-16
1407462492 Alexandra Moench Nurse Practitioner 225 W 23rd St Apt 5s, New York, NY 10011-2300 2020-09-16
1770193237 Lenka Varekova Nurse Practitioner 242 E 5th St Apt 3, New York, NY 10003-8501 2020-08-08
1184234817 Hyun Gyeong Im Nurse Practitioner 435 W 46th St Apt 2re, New York, NY 10036-9085 2020-08-06
1942822507 Busime Mimy Mudekereza Nurse Practitioner 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 2020-05-17
1366061376 Christine Go Np In Family Health PC Nurse Practitioner 315 Madison Ave Ste 1200, New York, NY 10017-5441 2020-04-09
1427687151 Ken Chuan Michael Chan Nurse Practitioner 110 Madison Ave Apt 10, New York, NY 10016-7486 2020-04-04
1528695004 Marylee Ann Marre Nurse Practitioner 226 E 25th St Apt 3d, New York, NY 10010 2020-03-25
1013541275 Albina Guzman Nurse Practitioner 226 5th Ave Fl 6, New York, NY 10001-7706 2020-02-26
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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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