Martha Kimmel, MSED
Individual provider Active NPI Early Intervention Provider Agency · Montebello, NY
NPI 1881832277 · NPPES record last updated Jan 23, 2009
Key facts
- NPI
- 1881832277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 20 Mayer Dr
Montebello, NY 10901-3825 - Phone
- (845) 323-1834
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NY | Yes |
Addresses
Primary practice location
20 Mayer Dr
Montebello, NY 10901-3825
Mailing address
20 Mayer Dr
Montebello, NY 10901-3825
Phone (845) 323-1834
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- Language Links
- Eloisa Lara
All providers in Montebello, NY · Early Intervention Provider Agency 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 Jan 23, 2009. 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.