Doctor Name: | MS. KRYSTEN ANNE RAYMOND |
NPI Number: | 1255571451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 012589 |
Business Practice Address: | 207 Glen Cove Ave Sea Cliff, NY - 115791455 |
Business Phone Number: | 5166761742 |
Business Fax Number: | 5166769662 |
Mailing Address: | 207 Glen Cove Ave, SEA CLIFF |
State: | NY |
Postal Code: | 115791455 |
Phone Number: | 5166761742 |
Fax Number: | 5166769662 |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 02/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 012589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |