Individual
DR. KRISTEN NICOLE RISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7559 263RD ST, AMBULATORY CARE PAVILION DOOR 2, GLEN OAKS, NY 11004-1150
(718) 470-8060
(718) 470-1905
Mailing address
7559 263RD ST, AMBULATORY CARE PAVILION DOOR 2, GLEN OAKS, NY 11004-1150
(718) 470-8060
(718) 470-1905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021275
NY
Other
Enumeration date
08/03/2015
Last updated
08/19/2015
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