Individual
CRISTIN ROSE GENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4080
(631) 444-2700
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382249
NY
Other
Enumeration date
01/27/2012
Last updated
07/05/2015
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