Individual
MRS. ANISSA ANNIE PITTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
5418 MERRICK RD, MASSAPEQUA, NY 11758-6213
(516) 202-4150
Mailing address
34 HEISSER LN, FARMINGDALE, NY 11735-3311
(516) 263-7416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352056-01
NY
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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