IndividualActive
Marissa Kistner, MS ED.
NPI 1861088676 · Respiratory/Developmental/Rehabilitative Specialist/Technologist · Fort Salonga, NY
Provider details
- NPI number
- 1861088676
- Entity type
- Individual
- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS ED.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4 Meadowood Ln
Fort Salonga, NY 11768-2702
Phone: (631) 813-0940
Approximate (ZIP-level) locationGet directions
Mailing address
4 Meadowood Ln
Fort Salonga, NY 11768-2702
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.