Individual
MS. KIMBERLY MARIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7700
Mailing address
2200 NORTHERN BLVD STE 133, GREENVALE, NY 11548-1226
(516) 352-8100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008187
NY
Other
Enumeration date
10/30/2008
Last updated
07/03/2017
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