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Kristen Ennis
NPI 1144171687 · on the registry since 2026 · sole proprietor
Practice
- Address
- 159 Tanglewood Dr
Staten Island, NY 10308 - Phone
- (718) 490-3754
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York