Individual
DAWN GIANNINOTO KHLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SMITHS LN, COMMACK, NY 11725-3510
(631) 543-2338
Mailing address
PO BOX 342, STONY BROOK, NY 11790-0342
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
590136
NY
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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