Most Relevant Information
Provider Data
| NPI Number: | 1003551078 |
| Provider Name: | GRACE KIM LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Practice Location Phone/Fax
| Phone: | 2122416800 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |