KELLY ANN ANTIMISIARIS

MASSAPEQUA, NY
NPI1265213797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405343)
Enumeration Date2023-10-10
Last Update Date2023-10-10
Business Address
KELLY ANN ANTIMISIARIS
5550 MERRICK RD
MASSAPEQUA, NY 11758-6238
Phone number: 631-773-1096
Mailing Address
KELLY ANN ANTIMISIARIS
5550 MERRICK RD
MASSAPEQUA, NY 11758-6238
Phone number:
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