IndividualActive
Nicola Kim, DNP
NPI 1003690306 · Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1003690306
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 311389 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1275 York Ave
New York, NY 10065-6007
Phone: (646) 531-9829
Approximate (ZIP-level) locationGet directions
Mailing address
530 E 74th St
New York, NY 10021-3459
Additional practice locations (1)
- 520 E 70th StNew York, NY 10021-9800Phone: (212) 746-5454
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.