Individual ProviderGloria KimPsychologistBehavioral Health & Social Service ProvidersPractice Address460 W 34th St Fl 11, New York, NY 10001-2320(212) 273-6182PECOS EnrollmentBased on the most recent information from CMS, provider Gloria Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1922522556Provider TypeIndividualFull NameKim, GloriaGenderFemaleSole ProprietorYesEnumeration Date7/25/2017Last Updated7/25/2017Contact InformationPractice LocationPractice Address460 W 34th St Fl 11, New York, NY 10001-2320Phone(212) 273-6182FaxUnlisted FaxMailing LocationMailing Address60 E Linden Ave Apt 3b, Englewood, NJ 07631-3650PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TS0200XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer