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Contact Information

KIMBERLY D ZEDALIS
2780 MIDDLE COUNTRY RD
STE 210
LAKE GROVE, NY11755-2124
 Phone: 631-588-4500
 Fax: 631-588-4595
 Website:
Indicates primary specialty

NPI Profile & details for KIMBERLY D ZEDALIS · (Female)

NPI Number 1124276282
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2008
Last updated 10/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 000142
  • NY License # 956080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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