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Kristina Ikonnikow
Specialist in Lake Grove, New York
NPI 1689124893

Kristina Ikonnikow is a Specialist based in Lake Grove, NY. Kristina Ikonnikow practices in Lake Grove, NY. The NPI Number for Kristina Ikonnikow is 1689124893 and holds a License No. 1080470161 (New York).

The current practice location address for Kristina Ikonnikow is 41 Patricia Ln, Lake Grove, NY and can be reached out via phone at 631-312-1150.

Location: 41 Patricia Ln, Lake Grove, NY, 11755-2840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689124893
Provider Name
Kristina Ikonnikow
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Patricia Ln, Lake Grove, NY, 11755-2840
Phone Number
631-312-1150
Fax Number
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Patricia Ln
City
Lake Grove
State
New York
Zip
11755-2840
Phone Number
631-312-1150
Fax Number
person
Provider Business Mailing Address Details
Address
41 Patricia Ln
City
Lake Grove
State
New York
Zip
11755-2840
Phone Number
631-312-1150
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1080470161 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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