Individual provider · Type 1 NPI

Kristyn Leigh Mastridge

Specialist · Port Jefferson Station, NY

NPI number 1144664731 Active

Practice location

5225 Nesconset Hwy Ste 30
Port Jefferson Station, NY 11776-2060

Call (631) 473-4284 Map

Mailing address

98 Circle Dr W
East Patchogue, NY 11772-4294

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X662082121 (NY)
Specialist 174400000X662081121 (NY)
Specialist 174400000X662080121 (NY)
Specialist 174400000X662079121 (NY)
Specialist 174400000X350688091 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1144664731

Kristyn Leigh Mastridge's National Provider Identifier is 1144664731, issued on Apr 25, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 25, 2013.