Individual provider · Type 1 NPI

Kimberly Marie Haggerty

Specialist · Port Jefferson Station, NY

NPI number 1467274548 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

78 Cardinal Ln
Hauppauge, NY 11788-2118

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1467274548

Kimberly Marie Haggerty's National Provider Identifier is 1467274548, issued on Oct 29, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 29, 2024.