KELLY JEAN WISNIEWSKI

ROSLYN, NY
NPI1467254425
Former NameKELLY JEAN O'BRIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  312048)
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
KELLY JEAN WISNIEWSKI AGNP
100 PORT WASHINTON BLVD
ROSLYN, NY 11576
Phone number: 516-390-9640
Mailing Address
KELLY JEAN WISNIEWSKI AGNP
55 FRANKEL RD
MASSAPEQUA, NY 11758-7260
Phone number: 516-780-2096
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