Kim, Jessica
Kim, Jessica is an individual health care provider with primary practice located at 95 Froehlich Farm Blvd , Woodbury NY 11797-2930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kim, Jessica can be contacted via phone (516) 302-8532.Contact Information
Primary practice address
95 Froehlich Farm Blvd
Woodbury NY 11797-2930
Phone: (516) 302-8532
Fax: (516) 838-6182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 311107 | New York |
Profile Details
| NPI number | 1245941046 |
|---|---|
| LBN Legal business name | Kim, Jessica |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2022 |
| Last updated | Aug 5th, 2026 - about 3 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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