Individual
KRISTA SIEDLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
96 ARIZONA AVE, LONG BEACH, NY 11561-1532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431036-1
NY
Other
Enumeration date
02/17/2017
Last updated
09/07/2022
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