NPI 1124276282

Kimberly D. Zedalis

Practitioner Radiology Practitioner Assistant Lake Grove, NY

Practice location

Address: 2780 Middle Country Rd STE 210, Lake Grove, NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595

Registered specialties (3)

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 000142 (NY)

Other Radiology Practitioner Assistant providers in New York →

Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 956080 (NY)

Other Radiologic Technologist providers in New York →

Mammography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X Licence 956080 (NY)

Registry record

NPI: 1124276282
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2008
Record last updated: 1 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.