Individual
MS. GAIL E MISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3075 VETERANS MEMORIAL HIGHWAY, SUITE 180, RONKONKOMA, NY 11779
(631) 979-8009
(631) 863-1970
Mailing address
764 HILLTOP CT., CORAM, NY 11727
(631) 838-4614
(631) 863-1970
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
475086-1
NY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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