Doctor Name: | MRS. KATHRYN ANN PISSERI |
NPI Number: | 1184055204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | F337757-1 |
Business Practice Address: | 210 Westchester Ave West Harrison, NY - 106042901 |
Business Phone Number: | 9148488000 |
Business Fax Number: | |
Mailing Address: | 210 Westchester Ave, WEST HARRISON |
State: | NY |
Postal Code: | 106042901 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/30/2013 |
NPI Last Update Date: | 11/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F337757-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |