Zedalis, Kimberly D.

Zedalis, Kimberly D. is an individual health care provider with primary practice located at 2780 Middle Country Rd Ste 210, Lake Grove NY 11755-2124. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant. Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant is her primary health care specialty. Zedalis, Kimberly D. can be contacted via phone (631) 588-4500.

Contact Information

Primary practice address
2780 Middle Country Rd Ste 210 Lake Grove NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 956080 New York
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 956080 New York
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X 000142 New York

Profile Details

NPI number 1124276282
LBN Legal business name Zedalis, Kimberly D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Oct 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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