Young Ju Kim, CRNA | |
4500 Parsons Blvd, Flushing, NY 11355-2205 | |
(718) 670-5631 | |
(718) 670-4446 |
Full Name | Young Ju Kim |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4500 Parsons Blvd, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861541666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 228981 (New York) | Primary |
Entity Name | Comprehensive Anesthesia Associates, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255386231 PECOS PAC ID: 9537072798 Enrollment ID: O20031112000598 |
Mailing Address | Practice Location Address |
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Young Ju Kim, CRNA Po Box 270, Massapequa Park, NY 11762-0270 Ph: (631) 264-2035 | Young Ju Kim, CRNA 4500 Parsons Blvd, Flushing, NY 11355-2205 Ph: (718) 670-5631 |
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