Individual
KRISTINE EDNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 BIRCHWOOD CT, BOHEMIA, NY 11716-3633
(631) 256-5620
Mailing address
13 BIRCHWOOD CT, BOHEMIA, NY 11716-3633
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
492714-1
NY
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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