Kristin Bevilacqua
Registered Nurse in Amityville, NY. Individual provider (NPI-1).
NPI number1477084598
StatusActive
Last updated in NPPESMar 21, 2017
Details
- NPI
- 1477084598
- Entity type
- Individual (NPI-1)
- Name
- Kristin Bevilacqua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2017
- Last updated
- Mar 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 663378-1 | NY | Yes |
Other names
- Kristin Cerminaro (Former Name)
Practice location
400 Sunrise HwyAmityville, NY 11701-2508
Phone 631-608-2400
Mailing address
107 7th AveHoltsville, NY 11742-2386
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All 45 Registered Nurse providers in Amityville · All 977 providers in Amityville
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