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: |