Organization
KINGSTON INTERNAL MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LYNN KEMBLE (OFFICE MANAGER)
(845) 338-2727
Entity
Organization
Contact information
Practice address
368 BROADWAY STE 403, KINGSTON, NY 12401-5160
(845) 338-2727
(845) 338-2975
Mailing address
368 BROADWAY STE 403, KINGSTON, NY 12401-5160
(845) 338-2727
(845) 338-2975
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
149865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01267463
—
NY
Enumeration date
07/11/2006
Last updated
07/11/2008
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