Individual
MARGARETTE KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
7901 BROADWAY # D1-04, ELMHURST, NY 11373-1329
(718) 334-3314
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306621
NY
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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