Individual provider · Type 1 NPI

Kim Incontrera

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1053839191 Active

Practice location

19 Vedder Ave
Staten Island, NY 10314-1509

Call (718) 370-9847 Map

Mailing address

312 Arthur Kill Rd
Staten Island, NY 10308-1119

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053839191

Kim Incontrera's National Provider Identifier is 1053839191, issued on Sep 8, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 8, 2017.