Zedalis, Kimberly D.
Zedalis, Kimberly D. is an individual health care provider with primary practice located at 2780 Middle Country Rd Ste 210, Lake Grove NY 11755-2124. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant. Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant is her primary health care specialty. Zedalis, Kimberly D. can be contacted via phone (631) 588-4500.Contact Information
Primary practice address
2780 Middle Country Rd Ste 210
Lake Grove NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 956080 | New York |
Technologists, Technicians & Other Technical Service Providers / Mammography | 2471M2300X | 956080 | New York |
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant | 243U00000X | 000142 | New York |
Profile Details
NPI number | 1124276282 |
---|---|
LBN Legal business name | Zedalis, Kimberly D. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2008 |
Last updated | Oct 1st, 2008 - about 16 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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