Provider Demographics
NPI:1720426257
Name:KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.
Entity Type:Organization
Organization Name:KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MYOUNGMI
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:718-939-6137
Mailing Address - Street 1:20305 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1021
Mailing Address - Country:US
Mailing Address - Phone:718-939-6137
Mailing Address - Fax:718-886-6126
Practice Address - Street 1:20305 32ND AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1021
Practice Address - Country:US
Practice Address - Phone:718-939-6137
Practice Address - Fax:718-886-6126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty