Dismore, Kristen

Dismore, Kristen is an individual health care provider with primary practice located at 625 Belle Terre Rd Ste 202 , Port Jefferson NY 11777-2318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dismore, Kristen can be contacted via phone (631) 686-7990.

Contact Information

Primary practice address
625 Belle Terre Rd Ste 202 Port Jefferson NY 11777-2318
Phone: (631) 686-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 025086 New York

Profile Details

NPI number 1326654120
LBN Legal business name Dismore, Kristen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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