Individual
KIMBERLY WINTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SUNRISE HWY W, PATCHOGUE, NY 11772-1868
(631) 286-6925
Mailing address
201 SUNRISE HWY, PATCHOUGE, NY 11772
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
809634-01
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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