Doctor Name: | TONIANN KONNICK |
NPI Number: | 1124175377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 484263 |
Business Practice Address: | 33 Robin Rd Rocky Point, NY - 117788941 |
Business Phone Number: | 6318495115 |
Business Fax Number: | |
Mailing Address: | 33 Robin Rd, ROCKY POINT |
State: | NY |
Postal Code: | 117788941 |
Phone Number: | 6318495115 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 484263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |