Individual
MRS. KRISTIN DITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2361
Mailing address
99 COMMONWEALTH AVE, MASSAPEQUA, NY 11758-4139
(516) 663-8120
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
487203-01
NY
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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