Individual
MS. KIMBERLY K STAVROLAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
622 W 168TH ST, VC 3-363, NEW YORK, NY 10032-3720
(212) 305-0890
(212) 305-0412
Mailing address
111 CEDAR HILL RD, BEDFORD, NY 10506-2017
(212) 305-0890
(212) 305-0412
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
012683-1
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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