Individual
SARA JESSICA KALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(929) 455-5052
Mailing address
321 E 22ND ST, NEW YORK, NY 10010-4802
(770) 362-9665
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
351726
NY
363L00000X
Nurse Practitioner
Primary
351726
NY
363LP2300X
Primary Care Nurse Practitioner
351726
NY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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