Individual
KRISTINE ALEXIS INCIONG VIRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4711
Mailing address
722 W WATER ST APT 2, ELMIRA, NY 14905-2435
(607) 415-7450
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
788423
NY
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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