Individual
KIMBERLY A. GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 431-8220
(845) 485-3730
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01953759
—
NY
Enumeration date
06/12/2006
Last updated
07/12/2007
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