Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly D. Zedalis

Individual provider Radiologic Technologist · NPI 1124276282

Kimberly D. Zedalis is a Radiologic Technologist in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
3

Practice location Address checks out

2780 Middle Country Rd Ste 210
Lake Grove, NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Practitioner Assistant (primary) Taxonomy 243U00000X · Licence 000142 (NY)
Radiologic Technologist Taxonomy 247100000X · Licence 956080 (NY)
Mammography Radiologic Technologist Taxonomy 2471M2300X · Licence 956080 (NY)

Record details

NPI number1124276282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESOctober 1, 2008