Kimberly Page Hance
Individual provider Active NPI Specialist · Lake Peekskill, NY
NPI 1861973158 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1861973158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 647478453 (NY)
- Practice address
- 65 Lake Dr
Lake Peekskill, NY 10537-1234 - Phone
- (914) 819-7988
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647478453 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 647478453 | NY | Yes |
Addresses
Primary practice location
65 Lake Dr
Lake Peekskill, NY 10537-1234
Mailing address
65 Lake Dr
Lake Peekskill, NY 10537-1234
Phone (914) 819-7988
Other providers in Lake Peekskill, NY
- BHP Transportation Inc.
- Beth Marianne Cofini-Martin
- Lisa Cozzi
- Samuel Davis
- Diana Duma
- Marie Isabella Holland
- James Earl La Voy
- Alison Nicole Loewy
- Jane Pagan
- David Perez
All providers in Lake Peekskill, NY · Specialist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.