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

MS. Jiyon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104101591

MS. Jiyon Kim is a Student in an Organized Health Care Education/Training Program in New Hyde Park, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1991 Marcus Ave Ste 104
New Hyde Park, NY 11042-2057
Phone: (516) 358-1808
Fax: (646) 754-9854
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021316 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104101591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESJanuary 24, 2017

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