Provider Demographics
NPI:1124917216
Name:KUZNESOFF, TRISTEN NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:TRISTEN
Middle Name:NICOLE
Last Name:KUZNESOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TRISTEN
Other - Middle Name:NICOLE
Other - Last Name:MARENGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:950 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3511
Mailing Address - Country:US
Mailing Address - Phone:631-637-5342
Mailing Address - Fax:
Practice Address - Street 1:950 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3511
Practice Address - Country:US
Practice Address - Phone:631-637-5342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY848826163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health