Ingrid Kisha Nidra Calliste M.D

NPI 1083920383 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083920383
Gender Female
Enumeration Date 08/24/2010
Last Updated 08/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
260 1ST ST
B15
MINEOLA NY, 11501-2359, US
Phone (516) 746-3714
Fax
Business Location
260 1ST ST
B15
MINEOLA NY, 11501-2359, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Ingrid Kisha Nidra Calliste M.D NPI is 1083920383, taxonomy code is 390200000X Ingrid Kisha Nidra Calliste M.D physically located at 260 1st St, Mineola NY, 11501-2359. NPI Number Ingrid Kisha Nidra Calliste M.D has the Individual type.

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1083920383 NPI number is provided on an as is basis without warranty of any kind. 1083920383 is maintained by the National Plan & Provider Enumeration System. The contents of Ingrid Kisha Nidra Calliste M.D are for informational purposes only.