Most Relevant Information
Provider Data
| NPI Number: | 1003342056 |
| Provider Name: | MOLLY SUE KIM NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F341740 |
Most Important Dates
| Enumeration Date: | 05/11/2017 |
| Last Updated: | 12/02/2019 |
Provider Practice Location
10 E 102ND ST
NEW YORK
NY
100296030
Practice Location Phone/Fax
| Phone: | 2122416756 |
| Fax: | 2124230522 |
Provider Mailing Location
150 E 42ND ST FL 9
NEW YORK
NY
100175699
Provider Mailing Phone/Fax
| Phone: | 6466058186 |
| Fax: |