Individual provider · Type 1 NPI

Kristen D'aquila

Specialist · Lake Grove, NY

NPI number 1093147654 Active

Practice location

18 Williams Blvd, Apt. 2D
Lake Grove, NY 11755-2455

Call (631) 807-7635 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1093147654

Kristen D'aquila's National Provider Identifier is 1093147654, issued on Aug 6, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 6, 2013.