Individual
BRITTANY KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, DAT
Contact information
Practice address
622 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-2374
(631) 583-3333
Mailing address
622 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-2374
(631) 583-3333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36002416A
IN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
02/10/2026
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