Individual
KIM WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 SYCAMORE AVE, HEMPSTEAD, NY 11550-6151
(516) 902-7796
Mailing address
29 SYCAMORE AVE, HEMPSTEAD, NY 11550-6151
(516) 902-7796
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230527
NY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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