Individual
KRISTIE NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS DEGREE
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
6 FAIRFAX DR, FARMINGVILLE, NY 11738-2210
(516) 429-0483
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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