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KIMBERLY CREITZ MED
NPI 1174213946
Specialist in West Islip, NY

Active since May 15, 2023
1631 JEFFERSON AVE, WEST ISLIP, NY 11795(917) 853-7753 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Creitz Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY CREITZ MED (NPI 1174213946) is an individual specialist in West Islip, New York, licensed in New York (2523161) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1174213946
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLY CREITZCredential: MED
Location Address1631 JEFFERSON AVEWest Islip, NY 11795-1714
Mailing Address1631 Jefferson AveWest Islip, NY 11795-1714 · (917) 853-7753
Phone(917) 853-7753
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 13, 2023
✔ NPI 1174213946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2523161
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1631 JEFFERSON AVE, West Islip, NY 11795
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Creitz's NPI number?

The NPI number for Kimberly Creitz is 1174213946. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Kimberly Creitz located?

Kimberly Creitz practices at 1631 Jefferson Ave, West Islip, NY 11795. The listed phone number is (917) 853-7753.

What is Kimberly Creitz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kimberly Creitz was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.