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General NPI Number Information
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NPI Number | 1972310860
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Entity Type | Individual
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Provider Name | KRISTA LYNN REMIS PA
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 407 E 70TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10021-5352
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Country | US
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Telephone | 212-772-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 180 MYRTLE AVE APT 15P
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City | BROOKLYN
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State | NY
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Zip | 11201-7081
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Country | US
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Telephone | 818-744-0544
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 033454
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License Number State | NY
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