| Soyon Kim, | |
|
1991 Marcus Ave Ste M201, New Hyde Park, NY 11042-3000 | |
| (718) 484-5000 | |
| Not Available |
| Full Name | Soyon Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1991 Marcus Ave Ste M201, New Hyde Park, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407369788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 308382 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prine Health Medical Group, Pllc | 1557600384 | 77 |
| Entity Name | Prine Health Medical Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144790163 PECOS PAC ID: 1557600384 Enrollment ID: O20190222000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Soyon Kim, 40 Oakwood St, Greenlawn, NY 11740-1422 Ph: (646) 460-4742 | Soyon Kim, 1991 Marcus Ave Ste M201, New Hyde Park, NY 11042-3000 Ph: (718) 484-5000 |
Miss Cassandra Nichole Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042 Phone: 347-223-7649 |
Joanna M Midy, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 516-470-5304 |
Rebecca Jeanine Edouard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1985 Marcus Ave Ste 110, New Hyde Park, NY 11042 Phone: 855-201-4988 |
Ramona Seeta Ramdeo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Lakeville Rd, Suite 107, New Hyde Park, NY 11042 Phone: 516-465-5400 Fax: 516-465-5454 |
Ms. Camelle Charles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-7392 |
Mrs. Priscilla Rahmer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26901 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-3460 |
Peter Magri Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Lakeville Rd, New Hyde Park, NY 11042 Phone: 516-734-7443 Fax: 516-734-7065 |