Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lydia Kim, LAC

Individual provider Anaplastologist · NPI 1619610672

Lydia Kim, LAC is an Anaplastologist in Roslyn Heights, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Practice location Address checks out

216 Willis Ave Ste 001
Roslyn Heights, NY 11577-2125
Phone: (917) 747-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 007035-01 (NY)
Anaplastologist Taxonomy 229N00000X · Licence 007035-01 (NY)

Record details

NPI number1619610672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address5311 Francis Lewis Blvd, Oakland Gardens, NY 11364-1632