| Doctor Name: | MS. GAIL E MISA |
| NPI Number: | 1063639094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 475086-1 |
| Business Practice Address: | 3075 Veterans Memorial Highway Suite 180 Ronkonkoma, NY - 11779 |
| Business Phone Number: | 6319798009 |
| Business Fax Number: | 6318631970 |
| Mailing Address: | 764 Hilltop Ct., CORAM |
| State: | NY |
| Postal Code: | 11727 |
| Phone Number: | 6318384614 |
| Fax Number: | 6318631970 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 475086-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |