Most Relevant Information
Provider Data
| NPI Number: | 1003035197 |
| Provider Name: | KRISTIN M ORRICO RPA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 011235 |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3051 LONG BEACH RD
SUITE 6
OCEANSIDE
NY
115723240
Practice Location Phone/Fax
| Phone: | 5167645142 |
| Fax: |
Provider Mailing Location
72 BARRY LN
SYOSSET
NY
11791
Provider Mailing Phone/Fax
| Phone: | 5162367498 |
| Fax: |