Balducci, Kimberly Rose

Balducci, Kimberly Rose is an individual health care provider with primary practice located at 250 W Main St , Bay Shore NY 11706-8337. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balducci, Kimberly Rose can be contacted via phone (631) 666-1951.

Contact Information

Primary practice address
250 W Main St Bay Shore NY 11706-8337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P75124 New York

Profile Details

NPI number 1306164298
LBN Legal business name Balducci, Kimberly Rose
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2010
Last updated May 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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