Individual provider · Type 1 NPI
Kristen Corrine Risom, PA-C
Surgical Physician Assistant · New York, NY
NPI number
1366840076
Active
Practice location
1111 Amsterdam Ave # CLARK7
New York, NY 10025-1716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 018318 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1366840076
Kristen Corrine Risom, PA-C's National Provider Identifier is 1366840076, issued on Dec 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jan 5, 2015.