Individual provider · Type 1 NPI

Kelly Ann Antimisiaris

Psychiatric/Mental Health Nurse Practitioner · Massapequa, NY

NPI number 1265213797 Active

Practice location

5550 Merrick Rd
Massapequa, NY 11758-6238

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X405343 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

13 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Massapequa

See all in Massapequa →

About NPI 1265213797

Kelly Ann Antimisiaris's National Provider Identifier is 1265213797, issued on Oct 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Massapequa, NY. The record was last updated on Oct 10, 2023.