Individual
IRENE CHRISTINE KIMMELBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
(718) 925-6027
Mailing address
16201 POWELLS COVE BLVD APT 1H, WHITESTONE, NY 11357-1401
(718) 309-3532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432078
NY
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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