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Kimberly Citarrella, D.O.

Emergency Medicine in Bay Shore, NY. Individual provider (NPI-1).

NPI number1235547449
StatusActive
Last updated in NPPESApr 27, 2018

Details

NPI
1235547449
Entity type
Individual (NPI-1)
Name
Kimberly Citarrella
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2014
Last updated
Apr 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine288978NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Phone 631-968-3000

Mailing address

301 E Main Street
Bayshore, NY 11706

Phone 631-968-3000

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