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1912173774
KIMBERLY PRINZIVALLI
MINEOLA, NY
NPI
1912173774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 06080)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
-- KIMBERLY PRINZIVALLI RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
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Mailing Address
-- KIMBERLY PRINZIVALLI RPAC
700 HICKSVILLE RD
BETHPAGE, NY 11714-3471
Phone number:
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