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1518680172
KRISTIN KILLACKEY
NEW YORK, NY
NPI
1518680172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 350412)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
KRISTIN KILLACKEY
424 E 34TH ST
NEW YORK, NY 10016-4901
Phone number: 631-816-3786
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Mailing Address
KRISTIN KILLACKEY
90 PARK AVE
MILLER PLACE, NY 11764-2621
Phone number: 631-816-3786
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