Provider Demographics
NPI:1073920385
Name:KIM, SUNHEE (RPA)
Entity Type:Individual
Prefix:MS
First Name:SUNHEE
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
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Mailing Address - Street 1:17660 UNION TPKE STE 360
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1531
Mailing Address - Country:US
Mailing Address - Phone:718-312-3442
Mailing Address - Fax:347-225-9930
Practice Address - Street 1:17660 UNION TPKE STE 360
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1531
Practice Address - Country:US
Practice Address - Phone:718-312-3442
Practice Address - Fax:347-225-9930
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2019-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY017705-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical