Kristen Dismore, PA
NPI #1326654120 in Port Jefferson, New York
Provider Information
- NPI Number
- 1326654120
- Entity Type
- Individual
- Name
- Kristen Dismore, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- PA
- Enumeration Date
- Sep 17, 2020
- Last Updated
- Sep 17, 2020
Practice Location
- Address
- 625 BELLE TERRE RD STE 202
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2318
- Phone
- (631) 686-7990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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