| Doctor Name: | MRS. KIM MARIE VENTIMIGLIA |
| NPI Number: | 1902059140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 014567 |
| Business Practice Address: | 777 N Broadway Suite 303 Sleepy Hollow, NY - 105911000 |
| Business Phone Number: | 9143663010 |
| Business Fax Number: | 9143661359 |
| Mailing Address: | 777 N Broadway, Suite 303 SLEEPY HOLLOW |
| State: | NY |
| Postal Code: | 105911000 |
| Phone Number: | 9143663010 |
| Fax Number: | 9143661359 |
| NPI Enumeration Date: | 10/31/2008 |
| NPI Last Update Date: | 10/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 014567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |