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Organization
KUMUDA FAMILY HEALTH CARE
Active
Organization
KUMUDA FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JACKSON FNP (OWNER)
(914) 260-8087
Entity
Organization
Contact information
Practice address
31 WEBER HILL RD, MAHOPAC, NY 10541-1829
(914) 260-8087
Mailing address
31 WEBER HILL RD, MAHOPAC, NY 10541-1829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336506
NY
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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