SUE KIM (NPI# 1245661719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245661719 |
| Entity Type | Individual |
| Full Name | SUE KIM |
| Practice Address |
3636 172nd St #86 Flushing NY 11358-2397 |
| Practice Telephone | 3475330369 |
| Mailing Telephone | 3475330369 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 790360 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773577 | Sue Young Kim | Speech-Language Pathologist | 1704 Hopefield Rd, Silver Spring, MD 20905-4112 | 2019-04-30 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1194184804 | Sue Young Kim | Dentist | 1515 Crenshaw Blvd, Torrance, CA 90501-2436 | 2016-02-23 |
| 1972986107 | Sue Kim | Dentist | 24128 130th Ave Se, Kent, WA 98030-9209 | 2015-07-07 |
| 1942603691 | Sue Kim | Pharmacist | 24624 Van Zandt Ave, Little Neck, NY 11362-1239 | 2014-10-08 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1164509097 | Sue Kim | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2006-10-31 |
| 1649249889 | Sue H Kim | Psychologist | One Chalet Dr Ste 106, The Summit Executive Offices, Wilton, NH 03086-0844 | 2006-03-17 |
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| 1629061247 | Sue Yeun Kim | Obstetrics & Gynecology | 140 Hoverhill St, Andover Ob/gyn, Andover, MA 01810 | 2005-08-30 |
| Street Address |
3636 172ND ST #86 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11358-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485269 | Jeong Seo | Acupuncturist | 163-26 Northern Blvd, Flushing, Flushing, NY 11358 | 2020-04-13 |
| 1447886510 | Leemaster Corp | Durable Medical Equipment & Medical Supplies | 163-15 Northern Blvd., Unit 2, Flushing, NY 11358 | 2020-03-20 |
| 1912541517 | Myeong R. Choi Acupuncture P.C. | Acupuncturist | 164-10 Crocheron Avenue, Flushing, NY 11358 | 2019-11-06 |
| 1417512203 | Jaekwan Lee | Physical Therapist | 4362 162nd Street, 2nd Floor, Flushing, NY 11358 | 2019-05-07 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
| 1275055402 | Alexandra Sara Miller | Registered Nurse | 43-43 166th Street, Flushing, NY 11358 | 2017-07-10 |
| 1245750520 | Seongrak Kang | Physical Therapist | 42-12 164th St 1fl, Flushing, NY 11358 | 2017-06-27 |
| 1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
| 1063957280 | Joel Choi | Specialist/Technologist | 3636 166th St, 2nd Fl, Flushing, NY 11358 | 2016-12-24 |
| Find all providers in zip 11358 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375515 | Mariyam Yagudayeva | Specialist | 15005 78th Ave, Flushing, NY 11367-3436 | 2020-01-16 |
| 1922648823 | Aina Yao | Specialist | 2616 Union St Apt 6a, Flushing, NY 11354-1722 | 2020-01-09 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1245882422 | Elaine M Hirakis | Specialist | 17311 47th Ave, Flushing, NY 11358-3804 | 2019-07-09 |
| 1235791807 | Rivka Balgley | Specialist | 14438 75th Rd Apt 1b, Flushing, NY 11367-2426 | 2019-07-03 |
| 1801352125 | Mayra Alejandra Reyes Ruiz I | Specialist | 15417 65th Ave, Flushing, NY 11367-1226 | 2019-02-11 |
| 1710450242 | Grow and Develop With Inessa LLC | Specialist | 15034 76th Rd, Flushing, NY 11367-3141 | 2019-01-08 |
| 1649743295 | Alma Beltran | Specialist | 14437 79th Ave Apt 1p, Flushing, NY 11367-3751 | 2019-01-07 |
| 1477037943 | Parvin Jabbari | Specialist | 2704 Parsons Blvd Apt 3g, Flushing, NY 11354-1301 | 2018-09-20 |
| 1821586470 | Eastern Chinese American Physician Ipa, Inc. | Specialist | 13620 38th Ave Ste 5j, Flushing, NY 11354-4232 | 2018-04-30 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.