Individual provider · Type 1 NPI
Kimberly Ann Tyburski, MS. ED.
Specialist · Shoreham, NY
NPI number
1447512165
Active
Practice location
20 Miller Ave
Shoreham, NY 11786-1834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 097371011 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1447512165
Kimberly Ann Tyburski, MS. ED.'s National Provider Identifier is 1447512165, issued on Jun 8, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shoreham, NY. The record was last updated on Jun 8, 2012.