Individual
MRS. LISETTE M KIMBERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6756
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00468800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F307147
NY
Other
Enumeration date
11/04/2013
Last updated
12/10/2025
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