Search › New York › 363LP0200X
Kimberly Ciaccia
NPI 1861875080 · on the registry since 2015 · sole proprietor
Practice
- Address
- 10101 Rockaway Blvd
Ozone Park, NY 11417 - Phone
- (917) 566-9440
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-06
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