Whalio Doctors

NPI 1669758322

Michael Jeffrey Kim, LPSYA

Practitioner Psychoanalyst Astoria, NY

Practice location

Address
3016 31st St, Astoria, NY 11102-2269
Phone
(917) 202-7261
Mailing address
355 W 47th St APT 4re, New York, NY 10036-2442

Registered specialties

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 000819 (NY)

Registry record

NPI
1669758322
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Oct 2011
Record last updated
26 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.