Individual
INESSA V MYSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
75 PLANDOME RD, MANHASSET, NY 11030-2301
(516) 439-4128
Mailing address
75 PLANDOME RD, MANHASSET, NY 11030-2301
(516) 439-4128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234965
NY
Other
Enumeration date
01/03/2007
Last updated
07/11/2007
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