Individual
KIMBERLY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 DALTON ST, ROSELLE PARK, NJ 07204-2015
(347) 683-4379
Mailing address
163 DALTON ST, ROSELLE PARK, NJ 07204-2015
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
586911
NY
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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