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Individual

KIM BORAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
Mailing address
40 TOWER RD, HOPEWELL JUNCTION, NY 12533-7417
(845) 233-3726

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301406
NY

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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