Individual
MRS. CORINNA NISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SHERMAN ST, PATCHOGUE, NY 11772-1689
(516) 523-5851
Mailing address
100 SHERMAN ST, PATCHOGUE, NY 11772-1689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1181919
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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