Healthcare Provider Details

I. General information

NPI: 1265946255
Provider Name (Legal Business Name): KIRSTEN MARIE BESIGNANO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRSTEN MARIE REINA

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 HYLAN BLVD
STATEN ISLAND NY
10305-1922
US

IV. Provider business mailing address

1360 HYLAN BLVD
STATEN ISLAND NY
10305-1922
US

V. Phone/Fax

Practice location:
  • Phone: 718-667-3577
  • Fax: 718-727-7474
Mailing address:
  • Phone: 718-667-3577
  • Fax: 718-727-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF353647-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: