Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRISTEN MARIE BLYDENBURGH, RPA-C
Active Sole ProprietorMS. KRISTEN MARIE BLYDENBURGH, RPA-C is a Physician Assistant healthcare provider located in WEST ISLIP, New York. NPI 1871816595 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST ISLIP, NY
Registration Details
- NPI Number
- 1871816595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2010 (16.422724234365 yrs)
- Last Updated
- Mar 9, 2010
- License
-
013795 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 MONTAUK HWY4TH FLOOR ANNEXWEST ISLIP, NY, 117954927Browse NY providers · Browse ZIP 11795
- Phone
- 6313764444
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD DECLUE | PA | 1093769416 |
| MRS. HEATHER LUCIDO | PA | 1346295557 |
| CHARLES LEVINSON | PA | 1962440834 |
| MR. FRANK KARP | PA | 1952345100 |
| MARK ZENDER | PA | 1750317871 |
| CHRISTINA STILLWELL | PA | 1609802669 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.