Individual
MS. CAROL ANN KIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2550 WEBB AVE, BRONX, NY 10468-3930
(718) 410-1302
Mailing address
3935 BLACKSTONE AVE, BRONX, NY 10471-3715
(718) 884-7464
(718) 884-7464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000681-1
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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