Individual
KRISTIN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 DEER PARK RD, DIX HILLS, NY 11746-6221
(631) 254-0094
Mailing address
3887 MILL RD, SEAFORD, NY 11783-1800
(516) 286-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007607-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007607-1
PTA CERTIFICATION
NY
Enumeration date
02/27/2018
Last updated
03/17/2018
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