Kimberly D. Zedalis

NPI #1124276282 in Lake Grove, New York

Provider Information

NPI Number: 1124276282
Entity Type: Individual
Name: Kimberly D. Zedalis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology Practitioner Assistant
Enumeration Date: Sep 3, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 2780 MIDDLE COUNTRY RD
Address 2: STE 210
City: Lake Grove
State: New York
ZIP Code: 11755-2124
Phone: (631) 588-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X
Radiologic Technologist - Mammography — Mammography	2471M2300X
Radiology Practitioner Assistant	243U00000X	Primary

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