Individual provider · Type 1 NPI

Krista Lynn Iannetta, TSHH

Specialist · Watertown, NY

NPI number 1942550934 Active

Practice location

16783 Ives Street Road
Watertown, NY 13601

Call (315) 788-5377 Map

Fax (315) 788-5373

Mailing address

P.o. Box 831 128 West Main Street, Apartment 2;
Brownville, NY 13615-0831

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 1942550934

Krista Lynn Iannetta, TSHH's National Provider Identifier is 1942550934, issued on Sep 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Sep 20, 2012.