Most Relevant Information
Provider Data
| NPI Number: | 1003373168 |
| Provider Name: | DONGEON KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 040141 |
Most Important Dates
| Enumeration Date: | 02/25/2019 |
| Last Updated: | 05/27/2020 |
Provider Practice Location
3310 101ST ST FL 2
CORONA
NY
113681018
Practice Location Phone/Fax
| Phone: | 3477081294 |
| Fax: |
Provider Mailing Location
7157 161ST ST APT 2A
FRESH MEADOWS
NY
113654497
Provider Mailing Phone/Fax
| Phone: | 9172922961 |
| Fax: |