Individual
KIMBERLY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 ISLAND COTTAGE RD, EDNA TINA WILSON CENTER, ROCHESTER, NY 14612-2312
(585) 368-6100
(585) 368-6133
Mailing address
700 ISLAND COTTAGE RD, EDNA TINA WILSON CENTER, ROCHESTER, NY 14612-2312
(585) 368-6100
(585) 368-6133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02734710
—
NY
Enumeration date
07/05/2006
Last updated
01/12/2016
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