KIM AXELRAD

CORAM, NY
NPI1942646104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F4015421)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
Ms. KIM AXELRAD NPP
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
Mailing Address
Ms. KIM AXELRAD NPP
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500