MS. Kenny Mikita Lacossiere, NURSE PRACTITIONER is an adult health nurse practitioner in New York, NY. MS. Kenny Mikita Lacossiere, NURSE PRACTITIONER NPI is 1336391853. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1275 YORK AVE
NEW YORK, NY
ZIP 10065-007
Phone: (212) 717-3028
Fax: (212) 717-3118
The NPI 1336391853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.