Kristine Colette Tiezzi
Student in an Organized Health Care Education/Training Program in Bayside, NY. Individual provider (NPI-1).
NPI number1366080145
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1366080145
- Entity type
- Individual (NPI-1)
- Name
- Miss Kristine Colette Tiezzi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
5350 207th StBayside, NY 11364-1716
Phone 718-225-0630
Mailing address
5350 207th StBayside, NY 11364-1716
Phone 718-225-0630
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All 15 Student in an Organized Health Care Education/Training Program providers in Bayside · All 1,933 providers in Bayside
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