Individual
KIMBERLY BIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSITANT
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6106
Mailing address
18 ELINORE AVE, MERRICK, NY 11566-4212
(631) 948-9322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011729
NY
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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