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1942646104
KIM AXELRAD
CORAM, NY
NPI
1942646104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F4015421)
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
Ms. KIM AXELRAD NPP
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
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Mailing Address
Ms. KIM AXELRAD NPP
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
Copy
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