| Kimberly Crocco Inc. | |
|
513 Pulaski Rd Greenlawn NY 11740-1701 | |
| (631) 827-2410 | |
| Not Available |
| Full Name | Kimberly Crocco Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 513 Pulaski Rd, Greenlawn, New York |
| Authorized Official Name and Position | Kimberly Canino (OWNER) |
| Authorized Official Contact | 6318272410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Crocco Inc. 513 Pulaski Rd Greenlawn NY 11740-1701 Ph: (631) 827-2410 | Kimberly Crocco Inc. 513 Pulaski Rd Greenlawn NY 11740-1701 Ph: (631) 827-2410 |
| NPI Number | 1518630169 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518630169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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