NPI 1548155492

Kimberly Ann Petrolia

Practitioner Peer Specialist Fair Lawn, NJ

Practice location

Address: 22-08 Route 208, Fair Lawn, NJ 07410-2609
Phone: (201) 846-4941

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 50625 (NJ)

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Registry record

NPI: 1548155492
Entity type: Individual
Sex (as registered): X
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 2025

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.