Provider Demographics
NPI:1972310860
Name:REMIS, KRISTA LYNN (PA)
Entity type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:LYNN
Last Name:REMIS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:180 MYRTLE AVE APT 15P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-7081
Mailing Address - Country:US
Mailing Address - Phone:818-744-0544
Mailing Address - Fax:
Practice Address - Street 1:407 E 70TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5352
Practice Address - Country:US
Practice Address - Phone:212-772-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant