Individual
KRISTIN MISHANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 NORTHERN BLVD, GREENVALE, NY 11548-1219
(516) 563-7156
Mailing address
2160 SPRUCE ST, WANTAGH, NY 11793-4120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309403
NY
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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