Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY CIACCIA
Active Sole ProprietorPediatric Nurse Practitioner · OZONE PARK, NY
Registration Details
- NPI Number
- 1861875080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2015 (10.816589718749 yrs)
- Last Updated
- Jul 6, 2016
- Licenses
-
687399 (NY)382611 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10101 ROCKAWAY BLVDOZONE PARK, NY, 114172228Browse NY providers · Browse ZIP 11417
- Phone
- 9175669440
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
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.