KIMBERLY STONE HALTIWANGER MD NPI 1336164292

NPI Information

NPI: 1336164292
Provider Name: KIMBERLY STONE HALTIWANGER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
646 COMMACK RD
COMMACK, NY
ZIP 11725
Phone: (631) 499-4114
Get Directions

Kimberly Stone Haltiwanger, MD is a pediatrics in Commack, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kimberly Stone Haltiwanger, MD NPI is 1336164292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

646 COMMACK RD
COMMACK, NY
ZIP 11725-404
Phone: (631) 499-4114
Fax: (631) 499-1468

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		188281	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00401381	MEDICAID	NEW YORK
2	01821338	MEDICAID	NEW YORK
3	B70726	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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