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1366840076
KRISTEN CORRINE RISOM
NEW YORK, NY
NPI
1366840076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 018318)
Enumeration Date
2014-12-11
Last Update Date
2015-01-05
Business Address
-- KRISTEN CORRINE RISOM PA-C
1111 AMSTERDAM AVE # CLARK7
NEW YORK, NY 10025-1716
Phone number: 212-523-4000
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Mailing Address
-- KRISTEN CORRINE RISOM PA-C
1111 AMSTERDAM AVE # CLARK7
NEW YORK, NY 10025-1716
Phone number:
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