CECILIA VANISKY

PORT JEFFERSON STATION, NY
NPI1225253222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner Obstetrics & Gynecology
(Licence: NY  360059)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NY  360059)
Enumeration Date2007-04-16
Last Update Date2019-12-03
Business Address
CECILIA VANISKY N.P.
4 ROOSEVELT AVE
PORT JEFFERSON STATION, NY 11776-3363
Phone number: 631-331-0500
Mailing Address
CECILIA VANISKY N.P.
900 MERCHANTS CONCOURSE STE 216
WESTBURY, NY 11590-5114
Phone number: 516-226-8373