Individual
KAREN MARIE MICKALIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1225 OSTRANDER AVE, RIVERHEAD, NY 11901-2108
(631) 727-5900
(631) 727-8483
Mailing address
700 OSBORNE AVE, RIVERHEAD, NY 11901-2912
(631) 727-5900
(631) 727-8483
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
330756-1
NY
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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