Eunae Christina Kim, PH.D.

Psychologist · Bayside, NY

Individual Active NPI

NPI number 1457472730

Practice location

21150 45TH Dr
Bayside, NY 11361-3357
Phone
(718) 578-5242

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NPI record

NPI
1457472730
Entity type
Individual (Type 1)
Enumeration date
April 3, 2007
Last updated
November 5, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 35S100510500 NJ
Mental Health Counselor 101YM0800X 001524 NY
Psychologist 103T00000X 017463 NY

Mailing address

1018 Palisade Ave
Apt # 3
Fort Lee, NJ 07024-6300
Phone
(718) 578-5242

About Dr. Kim

Eunae Christina Kim, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 21150 45TH Dr, Bayside, NY 11361-3357. The NPI number 1457472730 was assigned on April 3, 2007 and the record was last updated on November 5, 2013.

Dr. Kim lists 3 licenses in the registry: #35S100510500 (NJ) for Psychologist; #001524 (NY) for Mental Health Counselor; #017463 (NY) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eunae Christina Kim, PH.D.?

The NPI number is 1457472730.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (718) 578-5242.

Where is Dr. Kim located?

21150 45TH Dr, Bayside, NY 11361-3357.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 103T00000X – Psychologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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