person
Ms. Kenny Mikita Lacossiere, NURSEPRACTITIONER
Adult Health Nurse Practitioner in New York, New York
NPI 1336391853

Kenny Mikita Lacossiere is an Adult Health Nurse Practitioner based in Brooklyn, NY and is specialized in Adult Health. Kenny Mikita Lacossiere practices in New York, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kenny Mikita Lacossiere is 1336391853 and holds a License No. 304963-1 (New York).

The current practice location address for Kenny Mikita Lacossiere is 1275 York Ave, New York, NY and can be reached out via phone at 212-717-3028 and via fax at 212-717-3118.

Location: 1275 York Ave, New York, NY, 11218-3447
person
Provider Profile Details
NPI Number
1336391853
Provider Name
Kenny Mikita Lacossiere
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1275 York Ave, New York, NY, 11218-3447
Phone Number
212-717-3028
Fax Number
212-717-3118
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1275 York Ave
City
State
Zip
10065-6007
Phone Number
212-717-3028
Fax Number
212-717-3118
person
Provider Business Mailing Address Details
Address
1275 York Ave
City
State
Zip
10065-6007
Phone Number
212-717-3028
Fax Number
212-717-3118
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
304963-1 (New York)
Definition
Definition to come...
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