Knight, Corissa

Knight, Corissa is an individual health care provider with primary practice located at 1110 Rte 112 , Port Jefferson Station NY 11776-2250. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Knight, Corissa can be contacted via phone (631) 474-2657.

Contact Information

Primary practice address
1110 Rte 112 Port Jefferson Station NY 11776-2250
Phone: (631) 474-2657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 056877-1 New York

Profile Details

NPI number 1023363835
LBN Legal business name Knight, Corissa
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jan 31st, 2017 - about 8 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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