Individual
MRS. KIMBERLY GRACE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
496 SMITHTOWN BYP STE 200, SMITHTOWN, NY 11787
(631) 361-5300
(631) 361-5301
Mailing address
496 SMITHTOWN BYP STE 200, SMITHTOWN, NY 11787-5011
(631) 361-5300
(631) 361-5301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007810
NY
Other
Enumeration date
04/18/2008
Last updated
10/25/2018
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