Active NPIIndividual providerSole proprietor

Kristen Fraccavento

Specialist in Staten Island, New York

NPI Number1134653595
Practice location
198 Alverson Ave, Staten Island, NY 10309-1785
Fax
—
Last updated
February 25, 2022

Kristen Fraccavento is a Specialist based in Staten Island, NY. Kristen Fraccavento practices in Staten Island, NY. The NPI Number for Kristen Fraccavento is 1134653595. The current practice location address for Kristen Fraccavento is 198 Alverson Ave, Staten Island, NY 10309-1785 and can be reached out via phone at 917-642-0769.

Provider Profile Details

NPI Number
1134653595
Provider Name
Kristen Fraccavento
Provider Entity Type
Individual
Gender
Female
Address
198 Alverson Ave, Staten Island, NY 10309-1785
Phone Number
917-642-0769
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
April 12, 2017
Last Update Date
February 25, 2022
Certification Date
February 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
198 Alverson Ave
Staten Island, NY 10309-1785
Zip
10309-1785
Phone Number
917-642-0769
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
3494 Richmond Ave
Staten Island, NY 10312-3251
City
Staten Island
State
NY
Zip
10312-3251

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Fraccavento?

The NPI number of Kristen Fraccavento is 1134653595. It was assigned on April 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Kristen Fraccavento?

Kristen Fraccavento is registered under the primary taxonomy Specialist (code 174400000X).

Where does Kristen Fraccavento practice?

The practice location is 198 Alverson Ave, Staten Island, NY 10309-1785. The office can be reached at 917-642-0769 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134653595 directly on the NPPES registry website.

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