Kimberly D Kinney, MD | |
30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 | |
(845) 359-0010 | |
(845) 359-3414 |
Full Name | Kimberly D Kinney |
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Gender | Female |
Speciality | Pediatrics |
Location | 30 Ramland Rd S Ste 200a, Orangeburg, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952355182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA05827800 (New Jersey) | Secondary |
208000000X | Pediatrics | 183385 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
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Kimberly D Kinney, MD 704 Palisade Ave, Teaneck, NJ 07666-3144 Ph: (201) 836-4301 | Kimberly D Kinney, MD 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 Ph: (845) 359-0010 |
Cynthia Ceresney Cohen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 30 Ramland Road, Suite 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 | |
Jessica Elizabeth Rough, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 | |
Philip Newfield, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Ramland Rd, Suite 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 |