KIMBERLY ANN DEFATTA

JAMAICA, NY
NPI1992903983
Professional NameKIMBERLY ANN DEFATTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: NY  F381894-1)
Enumeration Date2007-07-11
Last Update Date2007-07-11
Business Address
MISS KIMBERLY ANN DEFATTA PNP
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-4500
Mailing Address
MISS KIMBERLY ANN DEFATTA PNP
5631 226TH ST APT 1
OAKLAND GARDENS, NY 11364-2044
Phone number:
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