Barnaby, Kimberly
Barnaby, Kimberly is an individual health care provider with primary practice located at 601 Portion Rd Ste 2 , Lake Ronkonkoma NY 11779-4585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Barnaby, Kimberly can be contacted via phone (631) 648-9708.Contact Information
Primary practice address
601 Portion Rd Ste 2
Lake Ronkonkoma NY 11779-4585
Phone: (631) 648-9708
Fax: (631) 772-2495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AB0774504-071 | New York |
Profile Details
| NPI number | 1952783045 |
|---|---|
| LBN Legal business name | Barnaby, Kimberly |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jun 24th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952783045 | NPPES |
| New York | Other | 648864745 | DRIVER'S LICENSE |
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