| Kmv Management Services, Inc. | |
|
21 Meehan Ln Coram NY 11727 | |
| (631) 258-9299 | |
| Not Available |
| Full Name | Kmv Management Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21 Meehan Ln, Coram, New York |
| Authorized Official Name and Position | Kristyn M Valente (OWNER) |
| Authorized Official Contact | 6312589299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmv Management Services, Inc. 21 Meehan Ln Coram NY 11727 Ph: (631) 258-9299 | Kmv Management Services, Inc. 21 Meehan Ln Coram NY 11727 Ph: (631) 258-9299 |
| NPI Number | 1497351811 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497351811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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