Individual
LAUREN MARIE KNEESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(631) 655-6903
Mailing address
284 MOTT ST APT 5K, NEW YORK, NY 10012-3494
(631) 655-6903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
05/08/2024
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