Individual
DR. CORISSA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1110 RTE 112, PORT JEFFERSON STATION, NY 11776-2250
(631) 474-2657
Mailing address
1110 RTE 112, PORT JEFFERSON STATION, NY 11776-2250
(631) 474-2657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056877-1
NY
Other
Enumeration date
07/17/2012
Last updated
01/31/2017
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