Antimisiaris, Kelly Ann
Antimisiaris, Kelly Ann is an individual health care provider with primary practice located at 5550 Merrick Rd , Massapequa NY 11758-6238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Antimisiaris, Kelly Ann can be contacted via phone (631) 773-1096.Contact Information
Primary practice address
5550 Merrick Rd
Massapequa NY 11758-6238
Phone: (631) 773-1096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 405343 | New York |
Profile Details
| NPI number | 1265213797 |
|---|---|
| LBN Legal business name | Antimisiaris, Kelly Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2023 |
| Last updated | Oct 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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