Individual
KERRI WISSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CAMMANN RD, CORAM, NY 11727-3044
(631) 219-0216
Mailing address
17 CAMMANN RD, CORAM, NY 11727-3044
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
814218141
NY
Other
Enumeration date
06/19/2015
Last updated
07/13/2015
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