Individual
KRISTEN ASSENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 KELLUM ST, LINDENHURST, NY 11757-1508
(631) 884-3000
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012
(631) 924-0008
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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