Kristen D'aquila
NPI #1093147654 in Lake Grove, New York
Provider Information
- NPI Number
- 1093147654
- Entity Type
- Individual
- Name
- Kristen D'aquila
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 6, 2013
- Last Updated
- Aug 6, 2013
Practice Location
- Address
- 18 WILLIAMS BLVD
- Address 2
- APT. 2D
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2455
- Phone
- (631) 807-7635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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