Individual
KIMBERLY M HADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2924 COUNTY ROUTE 17, DEKALB, NY 13630
(315) 347-3830
Mailing address
25 PARK ST, CANTON, NY 13617
(315) 379-9158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290105-1
NY
Other
Enumeration date
07/02/2014
Last updated
02/11/2022
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