Individual provider · Type 1 NPI

Kimberly Boehm, MS ED

Specialist · Bay Shore, NY

NPI number 1558616151 Active

Practice location

106 Asharoken Blvd
Bay Shore, NY 11706-7103

Call (516) 361-0635 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1558616151

Kimberly Boehm, MS ED's National Provider Identifier is 1558616151, issued on Jul 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 19, 2012.