Provider Demographics
NPI:1023258068
Name:CONTI, KIM KONDELKA (NYS REGISTERED HE)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:KONDELKA
Last Name:CONTI
Suffix:
Gender:F
Credentials:NYS REGISTERED HE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-342-2227
Mailing Address - Fax:845-342-2197
Practice Address - Street 1:399 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-342-2227
Practice Address - Fax:845-342-2197
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist