Karissa Lynn Koerner

NPI #1073945580 in Bay Shore, New York

Provider Information

NPI Number: 1073945580
Entity Type: Individual
Name: Karissa Lynn Koerner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 179 SPUR DR S
City: Bay Shore
State: New York
ZIP Code: 11706-3908
Phone: (631) 666-5762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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