Kimberly D. Zedalis
Kimberly D. Zedalis is a Radiologic Technologist in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
2780 Middle Country Rd Ste 210Lake Grove, NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiology Practitioner Assistant (primary) | Taxonomy 243U00000X · Licence 000142 (NY) |
|---|---|
| Radiologic Technologist | Taxonomy 247100000X · Licence 956080 (NY) |
| Mammography Radiologic Technologist | Taxonomy 2471M2300X · Licence 956080 (NY) |
Record details
| NPI number | 1124276282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 3, 2008 |
| Last updated in NPPES | October 1, 2008 |
| Mailing address | 2780 Middle Country Rd, Ste 210, Lake Grove, NY 11755-2124 |