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Individual

KRISTINE R PASCUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1991 MARCUS AVE, SUITE M 100, NEW HYDE PARK, NY 11042-2057
(516) 472-3650
Mailing address
1991 MARCUS AVE, SUITE M 100, NEW HYDE PARK, NY 11042-2057
(516) 472-3650

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630911-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382568-1
NY

Other

Enumeration date
12/30/2015
Last updated
10/25/2016
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