SearchNew York164W00000X

Carol Hissin

NPI 1306118856 · on the registry since 2012 · sole proprietor

Practice

Address
761 State Route 369 Lot 49
Port Crane, NY 13833
Phone
(697) 648-9391

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-30

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