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General NPI Number Information
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NPI Number | 1730268350
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Entity Type | Individual
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Provider Name | KATHY MICHELE MESSINA MD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BLDG 19 WEST ROAD
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-222-0228
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Fax | 516-745-1519
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Provider Business Mailing Address
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Address Line | 1635 BARBARA LN
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City | EAST MEADOW
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State | NY
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Zip | 11554-4704
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Country | US
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Telephone | 516-222-0228
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Fax | 516-745-1519
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 204784
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License Number State | NY
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