Individual
CHRISTINA KALAMOTOUSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WAGNER AVE, ROOSEVELT, NY 11575-1528
(516) 345-7229
(516) 345-7322
Mailing address
1600 STEWART AVE STE 300, WESTBURY, NY 11590-6611
(516) 396-0187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303425
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381342
NY
Other
Enumeration date
05/06/2021
Last updated
09/07/2021
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