KIMBALL FAMILY MEDICAL PRACTICE PC; NPI #1811295090

Contact Information

KIMBALL FAMILY MEDICAL PRACTICE PC

296 KIMBALL AVE
YONKERS, NY 10704-3026

Phone: 914-776-7758
Fax: 914-776-7863
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for KIMBALL FAMILY MEDICAL PRACTICE PC

NPI Number 1811295090

LBN Legal business name KIMBALL FAMILY MEDICAL PRACTICE PC

Authorized official BARBARA GRIFFITH - (DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/11/2011

Last updated 03/21/2011 - About 15 years ago

Identifiers

License #

164473-1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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