Individual provider · Type 1 NPI
Kristina Leigh Kupryk, PA-C
Medical Physician Assistant · Hawthorne, NJ
NPI number
1972887842
Active
Practice location
245 Diamond Bridge Avenue
Hawthorne, NJ 07506
Mailing address
169 Hillcrest Dr
Wayne, NJ 07470-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 25MP00266800 (NJ) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Hawthorne
About NPI 1972887842
Kristina Leigh Kupryk, PA-C's National Provider Identifier is 1972887842, issued on Oct 10, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hawthorne, NJ. The record was last updated on Oct 10, 2011.