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NPI Code Detail

MEDICARE: MRS. KIMBERLY F GAROFALO FNP

MEDICARE: MRS. KIMBERLY F GAROFALO FNP
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
1363LF0000XFamily Nurse Practitioner356945NY

General Provider Information

NPI Number : 1891689048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY F GAROFALO FNP
Provider Business Mailing Address
First Line : 5110 ONONDAGA RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-1406
Country : US
Telephone Number : 315-263-5804
Fax Number :
Provider Business Practice Location Address
First Line : 195 INTREPID LN
Second Line :
City : SYRACUSE
State : NY
Zip : 13205-2544
Country : US
Telephone Number : 315-469-8700
Fax Number : 315-469-6789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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