Functional Nurse Practitioner in Family Health
Functional Nurse Practitioner in Family Health is a Clinic/Center in New York, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2 W 32nd St Ste 602New York, NY 10001-0602
Phone: (917) 309-0729
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1619862943 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hyunchu Kim Gold — Staff Nurse Practitioner · (917) 309-0729 |
| Other names | Revive Wellness; Revive Wellness |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | June 25, 2025 |
| Certification date | June 25, 2025 |
| Mailing address | 2 W 32nd St Ste 602, New York, NY 10001-0602 |
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