Organization
KMV MANAGEMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN M VALENTE (OWNER)
(631) 258-9299
Entity
Organization
Contact information
Practice address
21 MEEHAN LN, CORAM, NY 11727
(631) 258-9299
Mailing address
21 MEEHAN LN, CORAM, NY 11727
(631) 258-9299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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