Individual
KIMBERLY C SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ACORN TER, NEW CITY, NY 10956-5901
(845) 548-4384
Mailing address
1 ACORN TER, NEW CITY, NY 10956-5901
(845) 548-4384
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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