person
Kelly Ann Antimisiaris
Psychiatric/Mental Health Nurse Practitioner in Massapequa, New York
NPI 1265213797

Kelly Ann Antimisiaris is a Psychiatric/Mental Health Nurse Practitioner based in Massapequa, NY and is specialized in Psychiatric/Mental Health. Kelly Ann Antimisiaris practices in Massapequa, NY. The NPI Number for Kelly Ann Antimisiaris is 1265213797 and holds a License No. 405343 (New York).

The current practice location address for Kelly Ann Antimisiaris is 5550 Merrick Rd, Massapequa, NY and can be reached out via phone at 631-773-1096.

Location: 5550 Merrick Rd, Massapequa, NY, 11758-6238
person
Provider Profile Details
NPI Number
1265213797
Provider Name
Kelly Ann Antimisiaris
Credential
Provider Entity Type
Individual
Gender
Female
Address
5550 Merrick Rd, Massapequa, NY, 11758-6238
Phone Number
631-773-1096
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5550 Merrick Rd
City
State
Zip
11758-6238
Phone Number
631-773-1096
Fax Number
person
Provider Business Mailing Address Details
Address
5550 Merrick Rd
City
State
Zip
11758-6238
Phone Number
631-773-1096
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
405343 (New York)
Definition
Definition to come...
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