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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY TRACEY NIESE, SPECIAL EDUCATION

Active Sole Proprietor

KIMBERLY TRACEY NIESE, SPECIAL EDUCATION is a Specialist healthcare provider located in MOHEGAN LAKE, New York. NPI 1992223101 is currently active in the NPPES registry. Verify at CMS.

Specialist · MOHEGAN LAKE, NY

Registration Details

NPI Number
1992223101
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2017 (8.928077294507 yrs)
Last Updated
Jul 21, 2022
License
879626 (NY)
Sole Proprietor
Yes

Practice Information

Address
3510 SAAGMORE AVENUE
MOHEGAN LAKE, NY, 105471054
Browse NY providers · Browse ZIP 10547
Phone
4549476938
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MOHEGAN LAKE, NY

Name Credential NPI
MRS. JENNIFER SHARP KARATZ M.S. 1346503653
MS. FARA A SCHUELLER MSED 1851708200
ALINA VAYSBURD 1699140913
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.