Individual
CAROLINE KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 STEWART AVE STE 100, GARDEN CITY, NY 11530-4833
(516) 536-2800
Mailing address
492 W MAIN ST, COLD SPRING HARBOR, NY 11724-2501
(631) 921-6557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
01/13/2023
Last updated
02/15/2023
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