Individual
LAURA KIMELDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 LOCUST AVE, PORT WASHINGTON, NY 11050-2711
(646) 598-6463
Mailing address
23 LOCUST AVE, PORT WASHINGTON, NY 11050-2711
(646) 598-6463
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
260696
NY
Other
Enumeration date
05/18/2009
Last updated
05/04/2022
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