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

Soonho C Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891502902

Soonho C Kim is a Student in an Organized Health Care Education/Training Program in Bayside, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

20305 32nd Ave
Bayside, NY 11361-1021
Phone: (929) 394-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 Broad Ave, Palisades Park, NJ 07650-1686 — (201) 429-2866

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1891502902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address20305 32nd Ave, Bayside, NY 11361-1021

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