SOOYEON GIM (NPI# 1669848750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669848750 |
| Entity Type | Individual |
| Full Name | SOOYEON GIM |
| Credential | DC |
| Practice Address |
20019 46th Ave Bayside NY 11361-3018 |
| Practice Telephone | 3476532497 |
| Mailing Telephone | 3476532497 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 70 012702 | NY | Chiropractic Providers |
| N | 171100000X | Acupuncturist | 006634 | NY | Other Service Providers |
| Street Address |
20019 46TH AVE |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265977722 | Friends Chiropractic PC | Chiropractor | 20019 46th Ave, Bayside, NY 11361 | 2016-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670320 | Kevin Shing Kam | Chiropractor | 1716 201st St Fl 1, Bayside, NY 11360-1019 | 2018-12-10 |
| 1811487408 | Vilan Chiropractic PC | Chiropractor | 5847 Francis Lewis Blvd Ste 14a, Bayside, NY 11364-1601 | 2018-05-18 |
| 1255847695 | Bklyn Chiropractic PC | Chiropractor | 20935 Northern Blvd, Bayside, NY 11361-3134 | 2017-12-21 |
| 1508311135 | New York Core Chiropractic P.C. | Chiropractor | 20935 Northern Blvd Ste 209a, Bayside, NY 11361-3134 | 2016-08-24 |
| 1053783266 | Tuscarora Chiropractic P.C. | Chiropractor | 4106 Bell Blvd, Bayside, NY 11361-2857 | 2015-10-27 |
| 1457757296 | Jennifer Honor | Chiropractor | 22640 Kingsbury Ave, Bayside, NY 11364-3126 | 2014-11-05 |
| 1740683663 | Chun Hyung Park | Chiropractor | 21519 39th Ave Unit 3, Bayside, NY 11361-2114 | 2014-10-06 |
| 1366859761 | Ivan Lam | Chiropractor | 20935 Northern Blvd Ste 209, Bayside, NY 11361-3134 | 2014-07-17 |
| 1881010981 | Wendy Mckay | Chiropractor | 200-14 44th Avenue, Bayside, NY 11361 | 2014-03-13 |
| 1902220619 | Richard Kim Chiropractic P.C. | Chiropractor | 2391 Bell Blvd Ste 103, Bayside, NY 11360-2019 | 2014-02-17 |
| Find all providers in BAYSIDE | ||||
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| 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.