Individual provider · Type 1 NPI
Karissa Lynn Koerner
Specialist · Bay Shore, NY
NPI number
1073945580
Active
Practice location
179 Spur Dr S
Bay Shore, NY 11706-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 695120121 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1073945580
Karissa Lynn Koerner's National Provider Identifier is 1073945580, issued on Aug 7, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bay Shore, NY. The record was last updated on Aug 7, 2013.