Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 43 430571 | NY |
NPI | 1023311537 |
---|---|
Provider Name | Kristen Cognetti |
First Address | New York, NY 10065-6800 |
Second Address | New York, NY 10065-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2010 |
Last Update Date | 11/04/2011 |