KELLY ANTIMISIARIS
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1265213797
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 405343 (NY) |
Frequently Asked Questions
NPI 1265213797 is the National Provider Identifier for KELLY ANTIMISIARIS, a Nurse Practitioner - Psychiatric/Mental Health provider located in Massapequa, NY. This NPI was enumerated on October 10, 2023.
KELLY ANTIMISIARIS practices at 5550 MERRICK RD, Massapequa, NY 11758.
Quick Facts
- NPI
- 1265213797
- Type
- Individual
- Enumerated
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
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