Individual
BETTY KIERSTEAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
976 MCLEAN AVE, SUITE 387, YONKERS, NY 10704-4105
(914) 237-6797
(914) 206-4950
Mailing address
976 MCLEAN AVE, SUITE 387, YONKERS, NY 10704-4105
(914) 237-6797
(914) 206-4950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92188
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME92188
MEDICAL LICENSE
FL
Enumeration date
06/02/2006
Last updated
07/08/2007
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