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Individual

ANN KATHERINE MIGNONE-CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1279 E MAIN ST, RIVERHEAD, NY 11901-2583
(631) 727-2100
Mailing address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5005
(631) 979-8880

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305829
NY

Other

Enumeration date
10/11/2011
Last updated
08/15/2022
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