Individual provider · Type 1 NPI

Kristina Beauharnais, PA

Medical Physician Assistant · New York, NY

NPI number 1811509904 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (212) 562-4141 Map

Other practice locations

  • 326 Washington St, Norwich, CT 06360-2740 · (860) 889-8331

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X025469 (NY)
Medical Physician Assistant Primary 363AM0700X5118 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1811509904

Kristina Beauharnais, PA's National Provider Identifier is 1811509904, issued on Aug 19, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Feb 21, 2023.