Individual
KIMBERLY GASTAMBIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CEDAR STREET, TAPPAN, NY 10983
(917) 325-2108
Mailing address
40 CEDAR STREET, TAPPAN, NY 10983
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
655688
NY
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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