Provider Demographics
NPI:1881070605
Name:MUSKATT, ARIANNA REBECCA (NP)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:REBECCA
Last Name:MUSKATT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6502
Mailing Address - Country:US
Mailing Address - Phone:516-622-1308
Mailing Address - Fax:516-622-1310
Practice Address - Street 1:361 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2320
Practice Address - Country:US
Practice Address - Phone:516-287-7933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339192-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily