Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 021805-1 | NY |
NPI | 1003268996 |
---|---|
Provider Name | Kimberly A Kropidlowski |
First Address | Webster, NY 14580-8825 |
Second Address | Webster, NY 14580-8825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2016 |
Last Update Date | 05/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03355344 | (05) | NY |
BA1110 | (02) | NY |