Individual
KIMBERLY DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2500 POND VW, SUITE 102A, CASTLETON, NY 12033-9750
(518) 477-6072
(518) 477-6074
Mailing address
3166 LONE PINE RD, SCHENECTADY, NY 12303-5037
(518) 396-2521
(518) 477-6074
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
012930-1
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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