Individual
KRISTA SAVARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 226-9158
(718) 226-6964
Mailing address
ONE EDGEWATER STREET, 6TH FLOOR, STATEN ISLAND, NY 10305
(718) 226-4324
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
240925
NY
207P00000X
Emergency Medicine Physician
25MB08171800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02871805
—
NY
Enumeration date
05/17/2007
Last updated
12/09/2010
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