Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Marie Distasio

Individual provider Registered Nurse · NPI 1700607488

Kimberly Marie Distasio is a Registered Nurse in Ogdensburg, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

1 Chimney Point Dr
Ogdensburg, NY 13669-2291
Phone: (315) 541-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 753082 (NY)

Record details

NPI number1700607488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address96 Gulf Rd, Colton, NY 13625-3190

Other providers in Ogdensburg