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Individual
KIMBERLY A HOSTIG
Active
Individual
KIMBERLY A HOSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
067230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426032086
FIDELIS
NY
01
—
N309C1
BLUE CROSS
NY
Enumeration date
12/22/2005
Last updated
06/11/2018
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