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General NPI Number Information
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NPI Number | 1588979462
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Entity Type | Individual
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Provider Name | KRISTEN GIORDANO NP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 180 E PULASKI RD
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-1915
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Country | US
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Telephone | 631-425-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 206 E 70TH ST APT 2C
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City | NEW YORK
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State | NY
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Zip | 10021-5415
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Country | US
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Telephone | 631-742-1167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 305441
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License Number State | NY
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