Individual
CARISSA RADZIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
5 E 98TH ST FL 6, NEW YORK, NY 10029-6501
(951) 234-4222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020163
NY
Other
Enumeration date
09/22/2016
Last updated
03/28/2024
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