SearchNew York164W00000X

Kimberly Booker

NPI 1760919526 · on the registry since 2017 · sole proprietor

Practice

Address
13 Alma Ave
Selden, NY 11784
Phone
(631) 885-4112

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York