Individual
KIMBERLY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 STARLIGHT DR, COMMACK, NY 11725-3523
(631) 509-0487
(631) 509-0487
Mailing address
19 STARLIGHT DR, COMMACK, NY 11725-3523
(631) 509-0487
(631) 509-0487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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