SEHWA KIM


Address: 29-14 204th St, Bayside, NY 11360-0000
Phone: 3476257767

SEHWA KIM (NPI# 1790196129) 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) 1790196129
Entity Type Individual
Full Name SEHWA KIM
Practice Address 29-14 204th St
Bayside
NY 11360-0000
Mailing Address 29-14 204th St
Bayside
NY 11360
Practice Telephone 3476257767
Enumeration Date 2014-05-20
Last Update Date 2014-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
624659-1 NY Nursing Service Providers

Office Location

Street Address 29-14 204TH ST
City BAYSIDE
State NY
Zip Code 11360-0000

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1992178925 Ira Knobler Behavioral Analyst 15-50 212th St, Bayside, NY 11360 2015-11-13
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1821497728 Arthur Ernest Schwartz General Practice 216-12 31st Road, Bayside, NY 11360 2014-08-15
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BAYSIDE
Zip Code 11360

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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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