Kim, Eva

Kim, Eva is an individual health care provider with primary practice located at 1430 Broadway , Long Island City NY 11106-4530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kim, Eva can be contacted via phone (929) 656-3407.

Contact Information

Primary practice address
1430 Broadway Long Island City NY 11106-4530
Phone: (929) 656-3407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383506 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ01217100 New Jersey

Profile Details

NPI number 1528721586
LBN Legal business name Kim, Eva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2021
Last updated Mar 24th, 2026 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528721586 NPPES
New York MEDICAID 1528721586

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