Individual
MRS. KIM MARIE SCHENONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
8515 MAIN ST, BRIARWOOD, NY 11435-1879
(718) 523-7186
Mailing address
8515 MAIN ST, BRIARWOOD, NY 11435-1879
(718) 523-7186
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008934
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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