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Kimberly Ellen Dore
Acute Care Nurse Practitioner in Staten Island, New York
NPI 1568220754

Kimberly Ellen Dore is an Acute Care Nurse Practitioner based in Staten Island, NY and is specialized in Acute Care. Kimberly Ellen Dore practices in Staten Island, NY. The NPI Number for Kimberly Ellen Dore is 1568220754 and holds a License No. 432938 (New York).

The current practice location address for Kimberly Ellen Dore is 87 Woodward Ave, Staten Island, NY and can be reached out via phone at 347-996-6521.

Location: 87 Woodward Ave, Staten Island, NY, 10314-6816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568220754
Provider Name
Kimberly Ellen Dore
Credential
Provider Entity Type
Individual
Gender
Female
Address
87 Woodward Ave, Staten Island, NY, 10314-6816
Phone Number
347-996-6521
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
87 Woodward Ave
City
Staten Island
State
New York
Zip
10314-6816
Phone Number
347-996-6521
Fax Number
person
Provider Business Mailing Address Details
Address
87 Woodward Ave
City
Staten Island
State
New York
Zip
10314-6816
Phone Number
347-996-6521
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
432938 (New York)
Definition
Definition to come...
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