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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAESEONG KIM

Active

TAESEONG KIM is a Acute Care Nurse Practitioner healthcare provider located in MINEOLA, New York. NPI 1013518851 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · MINEOLA, NY

Registration Details

NPI Number
1013518851
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2020 (5.7302270368871 yrs)
Last Updated
Oct 23, 2023
Licenses
432762 (NY)
346753 (NY)

Practice Information

Address
259 1ST ST # ER
MINEOLA, NY, 115013957
Browse NY providers · Browse ZIP 11501
Phone
5166632201
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Family Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in MINEOLA, NY

Name Credential NPI
DOLORITA DE JESUS ANP 1659690972
JULIE LYN COSTELLO ACNP 1023356227
PHYU PHYU SOE AGACNP 1376991943
CYNTHIA LI 1588270151
JENNIFER EMMA KEIM 1205597481
CHRISTINE ELIZABETH CIRILLO 1487361713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.