Individual
DR. KIM DERESPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2000
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
273880
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
273880
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
08/09/2019
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