Most Relevant Information
Provider Data
NPI Number: | 1003535998 |
Provider Name: | KIMBERLY JEAN-BAPTISTE |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/24/2022 |
Last Updated: | 08/24/2022 |
Provider Practice Location
17 W MERRICK RD STE 3
VALLEY STREAM
NY
115805701
Practice Location Phone/Fax
Phone: | 5164592920 |
Fax: |
Provider Mailing Location
17 W MERRICK RD
VALLEY STREAM
NY
115805701
Provider Mailing Phone/Fax
Phone: | |
Fax: |