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Individual
KIM K PETRONE
Active
Individual
KIM K PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02309617
—
NY
01
—
108690BJ
PREFERRED CARE HERT SAH S
—
01
—
RA6962
HERITAGE
—
Enumeration date
01/10/2006
Last updated
07/13/2026
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