Individual
KRISTINE MYRA LALAS PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 MIDDLE NECK RD STE 3, GREAT NECK, NY 11021-1113
(516) 829-5117
(516) 829-5217
Mailing address
230 MIDDLE NECK RD STE 3, GREAT NECK, NY 11021-1113
(516) 829-5117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
265249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03428791
—
NY
Enumeration date
05/27/2009
Last updated
04/04/2013
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