Individual
KRISTYN MEZZAFONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, 3 WEST ANTICOAGULATION, HUNTINGTON, NY 11743-2787
(631) 351-2687
Mailing address
270 PARK AVE, 3 WEST ANTICOAGULATION, HUNTINGTON, NY 11743-2787
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307028
NY
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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