Individual
KIM PERRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
745 64TH ST, BROOKLYN, NY 11220-4745
(917) 974-0479
Mailing address
62 COVENTRY WAY, RINGWOOD, NJ 07456-2748
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00090500
NJ
Other
Enumeration date
06/12/2008
Last updated
02/16/2024
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