Provider Demographics
NPI:1881365633
Name:AH KIM OCCUPATIONAL THERAPY PC
Entity type:Organization
Organization Name:AH KIM OCCUPATIONAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/BUSINESS STAFF
Authorized Official - Prefix:
Authorized Official - First Name:AH-HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-820-4857
Mailing Address - Street 1:31 E 32ND ST RM 610
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5592
Mailing Address - Country:US
Mailing Address - Phone:347-820-4857
Mailing Address - Fax:
Practice Address - Street 1:31 E 32ND ST RM 610
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5592
Practice Address - Country:US
Practice Address - Phone:347-820-4857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty