Individual
KATHRYN KOHANANOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6373
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310990
NY
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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