Active NPIIndividual providerSole proprietor

Mrs. Kristina Didomizio, PA-C

Physician Assistant in West Harrison, New York

NPI Number1932715604
Practice location
210 Westchester Ave, West Harrison, NY 10604-2901
Fax
—
Last updated
April 1, 2023

Kristina Didomizio is a Physician Assistant based in West Harrison, NY. Kristina Didomizio practices in West Harrison, NY and has the professional credentials of PA-C. The NPI Number for Kristina Didomizio is 1932715604 and holds a License No. 5756 (CT). The current practice location address for Kristina Didomizio is 210 Westchester Ave, West Harrison, NY 10604-2901 and can be reached out via phone at 914-831-4150.

Provider Profile Details

NPI Number
1932715604
Provider Name
Kristina Didomizio
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
210 Westchester Ave, West Harrison, NY 10604-2901
Phone Number
914-831-4150
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2020
Last Update Date
April 1, 2023
Certification Date
April 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Westchester Ave
West Harrison, NY 10604-2901
Zip
10604-2901
Phone Number
914-831-4150
West Harrison, NY 10604Get directions →

Provider Business Mailing Address Details

Address
80 Cypress St
Yonkers, NY 10704-1821
City
Yonkers
State
NY
Zip
10704-1821

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5756
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
02584401
License State (3)
NY
Taxonomy (3)
Physician Assistant · 363A00000X · 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 Mrs. Kristina Didomizio, PA-C?

The NPI number of Mrs. Kristina Didomizio, PA-C is 1932715604. It was assigned on September 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristina Didomizio, PA-C?

Mrs. Kristina Didomizio, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5756.

Where does Mrs. Kristina Didomizio, PA-C practice?

The practice location is 210 Westchester Ave, West Harrison, NY 10604-2901. The office can be reached at 914-831-4150 (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 1932715604 directly on the NPPES registry website.

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