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NPI Code Detail

MEDICARE: KIMBERLY SANZ

MEDICARE:   KIMBERLY  SANZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor017993NY

General Provider Information

NPI Number : 1366286957
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SANZ
Provider Business Mailing Address
First Line : 26 LACY LN
Second Line :
City : ALBANY
State : NY
Zip : 12211-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1182 TROY SCHENECTADY RD STE 204
Second Line :
City : LATHAM
State : NY
Zip : 12110-1000
Country : US
Telephone Number : 518-400-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/07/2026

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Directions to “ KIMBERLY SANZ ” Practice Location

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