Individual provider · Type 1 NPI

Kim Elaine Backman, NP

Psychiatric/Mental Health Nurse Practitioner · Wantagh, NY

NPI number 1205475746 Active

Practice location

2079 Wantagh Ave Ste 4
Wantagh, NY 11793-3924

Call (516) 244-6968 Map

Mailing address

2079 Wantagh Ave
Wantagh, NY 11793-3924

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X402879 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205475746

Kim Elaine Backman, NP's National Provider Identifier is 1205475746, issued on Jan 2, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wantagh, NY. The record was last updated on Aug 1, 2025.