Individual
MS. KRISTINE ANN PRAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
200 OLD COUNTRY RD, MINEOLA, NY 11501-4235
(516) 294-5330
Mailing address
205 LILAC PL, MASSAPEQUA PARK, NY 11762-3450
(516) 797-3451
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008873
NY
Other
Enumeration date
02/26/2007
Last updated
09/27/2022
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