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Individual
KIMBERLY I CELOTTO
Active
Individual
KIMBERLY I CELOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027046801
UNIVERA
NY
01
—
000570519001
BLUECROSS COMM BLUE
NY
01
—
9512327
INDEP HEALTH
NY
Enumeration date
11/26/2005
Last updated
12/17/2020
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