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Ms. Kim Axelrad, NPP
Psychiatric/Mental Health Nurse Practitioner in Coram, New York
NPI 1942646104

Kim Axelrad is a Psychiatric/Mental Health Nurse Practitioner based in Coram, NY and is specialized in Psychiatric/Mental Health. Kim Axelrad practices in Coram, NY and has the professional credentials of NPP. The NPI Number for Kim Axelrad is 1942646104 and holds a License No. F4015421 (New York).

The current practice location address for Kim Axelrad is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8500.

Location: 3600 Route 112, Coram, NY, 11727-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942646104
Provider Name
Kim Axelrad
Credential
NPP
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11727-4116
Phone Number
631-920-8500
Fax Number
Provider Enumeration Date
05/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
F4015421 (New York)
Definition
Definition to come...
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