Blair, Kimberly

Blair, Kimberly is an individual health care provider with primary practice located at 1444 5Th Ave , Bay Shore NY 11706-4147. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blair, Kimberly can be contacted via phone (631) 647-3100.

Contact Information

Primary practice address
1444 5Th Ave Bay Shore NY 11706-4147
Phone: (631) 647-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X P119976 New York

Profile Details

NPI number 1457040792
LBN Legal business name Blair, Kimberly
Credentials MHC-LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - about last year

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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