Healthcare Provider Details

I. General information

NPI: 1942468830
Provider Name (Legal Business Name): KIMBERLY FERRANTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 11/18/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 32ND ST FL 2 NYU UROLOGY ASSOCIATES
NEW YORK NY
10016-6058
US

IV. Provider business mailing address

462 1ST AVE NBV 9E2
NEW YORK NY
10016-9196
US

V. Phone/Fax

Practice location:
  • Phone: 212-545-5400
  • Fax:
Mailing address:
  • Phone: 212-263-4893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA120761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: