Most Relevant Information
Provider Data
| NPI Number: | 1003665373 |
| Provider Name: | KIMBERLY WACHTER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 897550 |
Most Important Dates
| Enumeration Date: | 05/17/2024 |
| Last Updated: | 05/17/2024 |
Provider Practice Location
1115 AVENUE U
BROOKLYN
NY
112235019
Practice Location Phone/Fax
| Phone: | 7187178337 |
| Fax: |
Provider Mailing Location
1115 AVENUE U
BROOKLYN
NY
112235019
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |