Individual
REBECCA A KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDHS
Contact information
Practice address
100 MORICHES ISLAND ROAD, EAST MORICHES, NY 11940
(631) 395-4435
Mailing address
100 MORICHES ISLAND RD, EAST MORICHES, NY 11940-1315
(631) 395-4435
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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