Haltiwanger, Kimberly Stone
Haltiwanger, Kimberly Stone is an individual health care provider with primary practice located at 646 Commack Rd , Commack NY 11725-5404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haltiwanger, Kimberly Stone can be contacted via phone (631) 499-4114.Contact Information
Primary practice address
646 Commack Rd
Commack NY 11725-5404
Phone: (631) 499-4114
Fax: (631) 499-1468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 188281 | New York |
Profile Details
| NPI number | 1336164292 |
|---|---|
| LBN Legal business name | Haltiwanger, Kimberly Stone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1336164292 | NPPES |
| New York | MEDICAID | 01821338 | |
| New York | MEDICAID | 00401381 |
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