Gullo, Kristin Heather

Gullo, Kristin Heather is an individual health care provider with primary practice located at 225 Community Dr , Great Neck NY 11021-5503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gullo, Kristin Heather can be contacted via phone (516) 829-9409.

Contact Information

Primary practice address
225 Community Dr Great Neck NY 11021-5503
Phone: (516) 829-9409
Fax: (516) 829-2713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383084 New York

Profile Details

NPI number 1598363459
LBN Legal business name Gullo, Kristin Heather
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598363459 NPPES
New York Other 383084 NYS PEDIATRIC NURSE PRACTITIONER LICENSE

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