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Michele Kissous-hunt, PA
Surgical Physician Assistant in New York, New York
NPI 1275736217

Michele Kissous-hunt is a Surgical Physician Assistant based in New York, NY and is specialized in Surgical. Michele Kissous-hunt practices in New York, NY and has the professional credentials of PA. The NPI Number for Michele Kissous-hunt is 1275736217 and holds a License No. 008576 (New York).

The current practice location address for Michele Kissous-hunt is 1751 York Ave, New York, NY and can be reached out via phone at 212-369-2490 and via fax at 212-369-2057.

Location: 1751 York Ave, New York, NY, 10128-5547
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Provider Profile Details
NPI Number
1275736217
Provider Name
Michele Kissous-hunt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1751 York Ave, New York, NY, 10128-5547
Phone Number
212-369-2490
Fax Number
212-369-2057
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008576 01 NY NEW YORK STATE LICENSE #
1052968 01 NY NCCPA CERTIFICATION #
institution
Provider Business Practice Location Address Details
Address
1751 York Ave
City
State
Zip
10128-6828
Phone Number
212-369-2490
Fax Number
212-369-2057
person
Provider Business Mailing Address Details
Address
1751 York Ave
City
State
Zip
10128-6828
Phone Number
212-369-2490
Fax Number
212-369-2057
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
008576 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
008576 (New York)
Definition
Definition to come...
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