KYOUNGLIM MIN


Address: 780 8th Ave Ste 201, New York, NY 10036-7000
Phone: 2127570222

KYOUNGLIM MIN (NPI# 1184197824) 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) 1184197824
Entity Type Individual
Full Name KYOUNGLIM MIN
Credential NP
Practice Address 780 8th Ave Ste 201
New York
NY 10036-7000
Mailing Address 21 Entwistle Ave
Nutley
NJ 07110-3209
Practice Telephone 2127570222
Mailing Telephone 9177021461
Enumeration Date 2019-01-04
Last Update Date 2019-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
339616 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PERMANENT RESIDENT 207195527 01

Office Location

Street Address 780 8TH AVE STE 201
City NEW YORK
State NY
Zip Code 10036-7000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457547374 Khaled Nabil Nasr Physical Therapist 780 8th Ave Ste 201, New York, NY 10036-7000 2007-09-25
1659848794 Bridget Ruth Korpanty Physician Assistant 780 8th Ave Ste 201, New York, NY 10036-7000 2018-10-26
1659615359 Ny Anesthesia Pain Management Pllc Pain Medicine 780 8th Ave Ste 201, New York, NY 10036-7000 2012-11-19
1538465497 Pain Physicians Ny Pllc Pain Medicine 780 8th Ave Ste 201, New York, NY 10036-7000 2011-02-09

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1689272999 Caroline Edmunds Purdy Acupuncturist 19 West 45th Street Suite 501, New York, NY 10036 2020-10-09
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1306495361 Desiree Polonis Social Worker 19 W. 45th Street, Suite 705, New York, NY 10036 2019-09-11
1902462575 Darren Louie Acupuncturist 19 W 45th Street, Suite 501, New York, NY 10036 2019-05-19
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1679045009 Novel Podiatry Pllc Podiatrist 28 West 44th Street, Ste 209, New York, NY 10036 2018-12-25
1699245274 Anne Michelle Dearwater Physical Therapist 36 W44th Street Suite 403, New York, NY 10036 2018-11-27
1154805927 Christine D'urso Psychologist 17-19 W. 45th Street, Suite 907, New York, NY 10036 2018-09-18
1861990335 Therapath Partners, LLC Clinical Medical Laboratory 545 W 45th St Fl 7, New York, NY 10036 2018-01-30
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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...

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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
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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
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Competitor

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City NEW YORK
Zip Code 10036

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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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