Most Relevant Information
Provider Data
| NPI Number: | 1003585233 |
| Provider Name: | KIMBERLY WINTERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 809634-01 |
Most Important Dates
| Enumeration Date: | 09/10/2021 |
| Last Updated: | 09/10/2021 |
Provider Practice Location
201 SUNRISE HWY W
PATCHOGUE
NY
117721868
Practice Location Phone/Fax
| Phone: | 6312866925 |
| Fax: |
Provider Mailing Location
201 SUNRISE HWY
PATCHOUGE
NY
11772
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |