Individual
ALLISON MISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Mailing address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352062-01
NY
Other
Enumeration date
06/14/2023
Last updated
02/26/2026
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