person
Kristen Corrine Risom, PA-C
Surgical Physician Assistant in New York, New York
NPI 1366840076

Kristen Corrine Risom is a Surgical Physician Assistant based in New York, NY and is specialized in Surgical. Kristen Corrine Risom practices in New York, NY and has the professional credentials of PA-C. The NPI Number for Kristen Corrine Risom is 1366840076 and holds a License No. 018318 (New York).

The current practice location address for Kristen Corrine Risom is 1111 Amsterdam Ave # Clark7, New York, NY and can be reached out via phone at 212-523-4000.

Location: 1111 Amsterdam Ave # Clark7, New York, NY, 10025-1716
person
Provider Profile Details
NPI Number
1366840076
Provider Name
Kristen Corrine Risom
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1111 Amsterdam Ave # Clark7, New York, NY, 10025-1716
Phone Number
212-523-4000
Fax Number
Provider Enumeration Date
12/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Amsterdam Ave # Clark7
City
State
Zip
10025-1716
Phone Number
212-523-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Amsterdam Ave # Clark7
City
State
Zip
10025-1716
Phone Number
212-523-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
018318 (New York)
Definition
Definition to come...
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