Individual
TONIANN KONNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
33 ROBIN RD, ROCKY POINT, NY 11778-8941
(631) 849-5115
Mailing address
33 ROBIN RD, ROCKY POINT, NY 11778-8941
(631) 849-5115
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
484263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01709397
—
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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