Ye Eun Kim | New York, NY • PECOS Search

Ye Eun Kim

Counselor

Behavioral Health & Social Service Providers

1115 Broadway, New York, NY 10010-3450

(917) 873-8353 (646) 481-3124

PECOS Enrollment

Based on the most recent information from CMS, provider Ye Eun Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1710442405
Provider Type
Individual
Full Name
Kim, Ye Eun
Gender
Female

Sole Proprietor
No
Enumeration Date
2/6/2019
Last Updated
5/9/2024

Contact Information

Practice Location

1115 Broadway, New York, NY 10010-3450

Unlisted Fax

Mailing Location

1115 Broadway, New York, NY 10010-3450

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer New York