Individual
KRISTA BELLASSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(585) 338-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018739
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04247054
—
NY
Enumeration date
07/15/2015
Last updated
08/10/2016
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