Individual
KRISTEN WIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 AMERICA AVE, WEST BABYLON, NY 11704-4301
(631) 988-6478
Mailing address
1015 AMERICA AVE, WEST BABYLON, NY 11704-4301
(631) 988-6478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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