Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY D. ZEDALIS
ActiveKIMBERLY D. ZEDALIS is a 243U00000X healthcare provider located in LAKE GROVE, New York. NPI 1124276282 is currently active in the NPPES registry. Verify at CMS.
243U00000X · LAKE GROVE, NY
Registration Details
- NPI Number
- 1124276282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2008 (17.758774845238 yrs)
- Last Updated
- Oct 1, 2008
- Licenses
-
956080 (NY)956080 (NY)000142 (NY)
Practice Information
- Address
-
2780 MIDDLE COUNTRY RDSTE 210LAKE GROVE, NY, 117552124Browse NY providers · Browse ZIP 11755
- Phone
- 6315884500
- Fax
- 6315884595
- Primary Specialty
-
243U00000X
243U00000X
- Additional Specialty
- 2471M2300X
- Additional Specialty
- 243U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.