Provider Demographics
NPI:1346673829
Name:KIM, HYEMI (PA-C)
Entity Type:Individual
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First Name:HYEMI
Middle Name:
Last Name:KIM
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:237 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4513
Mailing Address - Country:US
Mailing Address - Phone:516-584-6400
Mailing Address - Fax:516-584-6401
Practice Address - Street 1:237 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4513
Practice Address - Country:US
Practice Address - Phone:516-584-6400
Practice Address - Fax:516-584-6401
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant