Individual
CHRISTINE EGERIA MOUZAKITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 E MAIN ST STE 6, SMITHTOWN, NY 11787-2900
(631) 257-5290
Mailing address
12 VINTON ST, NORTH MASSAPEQUA, NY 11758-1030
(516) 647-1294
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
542040-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309872
NY
Other
Enumeration date
06/04/2020
Last updated
04/21/2021
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