Kim Bacci
NPI #1780004614 in Whitestone, New York
Provider Information
- NPI Number
- 1780004614
- Entity Type
- Individual
- Name
- Kim Bacci
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 18, 2014
- Last Updated
- Apr 18, 2014
Practice Location
- Address
- 1630 166TH ST
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-3333
- Phone
- (917) 328-6713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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