Individual
LAURA B NIMKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
(631) 244-8560
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
(631) 244-8560
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
171491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01506629
—
NY
01
—
170Y61
BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/22/2005
Last updated
01/30/2008
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