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1609386101
KRISTIE SUMMUS
WEST ISLIP, NY
NPI
1609386101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
KRISTIE SUMMUS PA-C
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 516-312-9942
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Mailing Address
KRISTIE SUMMUS PA-C
18 ROBIN LN
FARMINGDALE, NY 11735-5912
Phone number:
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