Kim, Jina
Kim, Jina is an sole proprietor health care provider with primary practice located at 600 Community Dr , Manhasset NY 11030-3802. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kim, Jina can be contacted via phone (516) 419-6036.Contact Information
Primary practice address
600 Community Dr
Manhasset NY 11030-3802
Phone: (516) 419-6036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 340441 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 12831 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 340441 | New York |
Profile Details
| NPI number | 1023468832 |
|---|---|
| LBN Legal business name | Kim, Jina |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Jul 28th, 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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