KIM ELAINE BACKMAN

WANTAGH, NY
NPI1205475746
Other NameKIM ELAINE BACKMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402879)
Enumeration Date2020-01-02
Last Update Date2024-08-19
Business Address
KIM ELAINE BACKMAN NP
2079 WANTAGH AVE STE 4
WANTAGH, NY 11793-3924
Phone number: 516-244-6968
Mailing Address
KIM ELAINE BACKMAN NP
100 FAIRWAY RD
LIDO BEACH, NY 11561-4820
Phone number: 516-244-6968
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